HomeMy WebLinkAboutDRB140479 transmittal Department of Community Development
75 South Frontage Road
T�W�I OF VAIL vai�, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for pEanning 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
DRB140479 Communit Develo ment �Response to Correction Letter
y P �attached copy of correction letter
Q Deferred Submittal
!�Other P�ans to accompany DRB application
Project Street Address:
4977 Juniper Lane Unit A
,(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Project narrative
Applicant Information
Site Survey/Building Elevations of proposed exterior finish modifications
(architect,contractor,owner/owner's rep)
Contact Name: Chris Green (Architect)
Address: PO Box 6053
City Eagle State:_CO Zip: 81631
Contact Name: (use additional sheet if necessary)
Contact Phone: 970-328-9474
Building Permits:
chris a ostudios.com Revised ADDI'I'IONAL Yaluations(Labor&Materials)
Contact E-Mail: @ 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, Intemational Buil g and Residential Codes and other Mechanical: $
ordinanc Town 'cable thereto.
X • Total: $�
Owner/Owner's Representative Signature(Required) � - -- - �
_... Date Received:
For Office Usc Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#