HomeMy WebLinkAboutB14-0032 B13-0552 REV2 transmittal_ �
Si��ITT A� Or>Z-cx',yZ-�i
Department of Community Development
75 South Frontage Road
TOWN OF VAIL ' � va�i, 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
B14-0032 and B13-0552 ,' r �-. �Response to Correction Letter
�t�`� � �,tJ L_-. �attached copy of correction letter
� �g �Deferred Submittal
��5 ��'V�� � (�Other
Project Street Address:
' 463/473 Beaver Dam Road
(Number) (Street) (Suite#)
�/ / �ncI
BuildinglComplex Name: (�C��i�Y.�l�.�.. Description of Transmittal/List of Changes, Items Attached:
Temporary Shoring Design
Applicant Information
R[�I�P /t 5 N�'t�P 0�4
(architect,contractor,owner/owner's rep)
Contact Name: �Nelson ��L1�-Tn'- o'°2"cr'z
Address: 51 Eagle Rd ' g.�:(1s�o..LS G-.v 9'L p e.�c R.��[�s.- v
Avon CO 81620 ��• �'E��'�LTc 6v�tc,�NZ9'�-¢. gTR M C�
City State: Zip:
GrantSmith �-� kPpm'..1 '�" �P�c'aL. ► Nsp��Ti �.SS'
Contact Name: (use additional sheet if necessary)
Contact Phone: 9�0-391-9736
Building Permits:
gsmith@ranelson.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: $ �tV
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- �
pr ed,International Building and Residential Codes and other Mechanical: $ ��
or inances of the Town applicable thereto. °
X � s''"`^� Total: $��
Owner/ epresentative Signature(Required)
Date Received:
� �j � V �
For Office Use Only: �
Fee Paid:
Received From: JuL 2 1 2���
Cash Check# �
CC: Visa/MC Last 4 CC# exp.date:
Authorization# TpWN pF VAIL