HomeMy WebLinkAboutB13-0498 REV3 transmittal Department of Community Development
75 South Frontage Road
���� �� ��j� Vail, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
This form is also used for requesting a revision to building permits. A two hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
Application/Permit#(s) information applies
to: Attention: �Revisions
B13-0498 REV3 �Response to Correction Letter
�attached copy of correction letter
PRJ13-0389 DEV13-0001 �Deferred Submittal
�Other
Project Street Address:
540 S. Frontage Road East
(Number) (Street) (Suite#)
Building/Complex Name: GRFA Description of Transmittal/List of Changes, Items Attached:
Revised Town of Vail Sewer line design
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: Zehren and Associates
Address: 48 E. Beaver Creek Blvd
City Avon State: Co Zip: 81620
Contact Name: David Baum
(use additional sheet if necessary)
Contact Phone: 9�0-949-0257
Building Permits:
davidb zehren.com Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: @ (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $
ordinances of the Town applica�l,�„����a�;dBa�m
x D a v i d 6 a u m�u��-�a��d Ba�m,o-Zeh�e�a�d A==o��ate=, $o
u=Architecture,email=davidbCzehreamm, T�tcl�.
Owner/Owner's Representati•✓e S°r�i�°���'1i-L'cl��'c�`7'4Ped)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp. date:
Authorization #