HomeMy WebLinkAboutB14-0050 CR1 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
B-14-0500 B14-0050 CR1 JR �Response to Correction Letter
�attached copy of correction letter
Pal Residence �Deferred Submittal
�Other
Project Street Address:
254 Beaver Dam Road
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Building Inspection Corrections requested Re; bubbles
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: Steven James Riden AIA Architect
Address: POB 3238
City Vail State: Co Zip: 81658
Contact Name: Steve
(use additional sheet if necessary)
Contact Phone: 9�0-389-0150
Building Permits:
steve riden1.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: $
ordi,�,��,��eV�,f,r���q,�,��rn applicable thereto.
Xoa�ezo,QOa,,,z�,azoboo �_���.o�e,�a�_,�e.e.�,�m�2om�_�= Total: $0
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 #