HomeMy WebLinkAboutB14-0033 REV1 transmittal Oepartment of Community Developmen[
75 South Frontage Road
iOWN Of VAIL vau, co aiss�
Tel: 970.479.2128
www.vailgov.com
Development Review Coordina[or
TRANSMITTAL FORM
Use this torm when submitting atltlitional infortnation for planning app6cations or builtling pertnits.
This form is also usetl tor reques�ing a revision to bmlding pertni�s. A �wa hour minimum building review
tee af 8110 will be charged upon reissuance o( the permit.
Application/Permit N�s) information applies
�o: Atten�on: Revisions
• Response b Correction Letler
814-0033 Camlyn f1attachetl copy o( comction letter
Q Deferred Submittal
� Other
Prqect 5[reet Address:
1250 Wes�haven Cir.
(NUmber) �Streey �SUitek�
Building/COmplec Name: Description of Trensmittal/ List of Changes, Items AHached'.
Changes to S�ructural Plans
Applicant Intortnation
S2 S4 S7
(architec4 �o��roctor, ownedowneYS rep)
Camacl Name: William Reslock
Atldress: �5ffi Prouty Or
City Evergreen State: Co ZiP. 80439
Contact Name: Bob Boymer
(use atltlilional sheet if necessary)
Contaci Phone�. 974 390 9239 BuilJing Permits:
Revisetl ADDITIONAL Valua[ions (Labor 8 Materials)
Contact E-Mail�. (DO NOT include original valuatlon)
I hereby acknowletlge tnat I have reaE this applicatioq filletl out Builtling. $
in WII the intormation required wmpletetl an accurete plot plan.
and sta�e �ha� all Ne information as requiretl is correct I agree to p�umbing'. $
comply with ihe intormation and plot plan, ro comply vnih all Tawn
ortlinances antl state laws, anE to builtl ihis simclure according Electriral: $
to the [own's zoning antl subtlivision wtles, design review ap-
proved, International Building and Residential Cotles antl other Mechanical: $
oMinances of ihe Town appliwble ihereto.
XWilliamReslock total: $ 0
OvmerlOvmer's Representative Signature (Repuired)
Da[e Receivetl:
For OIGn Use Onk
Fee Paid:
Rxeived Fmm:
Cas� Chxk N
CC Visa / MC las[ 9 CC # exp. tlate:
Authonza[ion #