HomeMy WebLinkAboutB13-0013 CR3 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
B13-0013 CR3 Martin Haeberle �Response to Correction Letter
�attached copy of correction letter
PRJ12-0288 �Deferred Submittal
�Other
Project Street Address:
305 Mill Creek Circle
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
-->Western Slope Testing & Inspection 3rd Party Special
Applicant Information
Inspection Reports (previously submitted)
(architect, contractor, owner/owner's rep)
--> Structural Engineer Reports Addressing 3rd Party Reports
Contact Name: George Shaeffer Construction
Address:
PO Box 373 (new information)
--> See Western Slope Testing & Inspection Report#4
City Vail State: CO Zip: 81658
Jon Stevenson for Final Project Compliance
ContaCt Name: (use additional sheet if necessary)
Contact Phone: 9�0-331-4538
Building Permits:
ons sconco.com Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: 1 @g (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 applicable thereto.
X Total: $�
Owner/Owner's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# exp. date:
Authorization #