HomeMy WebLinkAboutB14-0033 REV3 Transmittal -= Department of Community Development
75 South Frontage Road
T��� �� Va�!� 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: Q Revisions ��
�Response to Correction Letter .
B14-0033 �attached copy of correction letter .
�Deferred Submittal �
�Other
Project Street Address:
1250 Westhaven Circle
(Number) (Street) (Suite#) � �
Building/Complex Name: � Description of Transmittall List of Changes, Items Attached:
. . .. . ... . .. . . Changes to interior electrical plan
Applicant Infortna[ion
Step light locations on site plan
(architect,contractor,ownedowner's rep) �
Contact Name�, William Reslock
Address: 1582 Prouty Drive
City Evergreen State�. CO ZiP� 80439 �
Contact Name: Bob Boymer
, (use additional sheet if necessary)
Contact Phone: 970-390-9239 Building Permits: � �
bo mer vail.net � Revised ADDITIONAL Valuations(Labor&Materials)
Contad E-Mail: Y @ (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 towds zoning and subdivision codes, design review ap-
proved, Intemational Building and Residential Codes and other Mechanical: $
ordinances of the Town applicable thereto.
X William Reslock Total�. $�
Owner/Owner's Representative Signature(Required) ����� � � � �
Date Received:
Far Office Gse Onh��.
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#