HomeMy WebLinkAboutB14-0032 B13-0552 REV6 Transmittal �` 75 South Frontage Road
TOWN OF V � va�i, co s�ss7
at�' 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: �j Revisions
('�Response to Correction Letter
B14-0032 and 613-0552 �attached copy of correction letter
Q Deferred Submittal
�j Other
Project Street Address: '
463/473 Beaver Dam Road
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
- Additional/Revision to Temporary Shoring Design
Applicant Information
(architect,contractor,owner/owner's rep)
Revision to Deferred Submittal -Approved 9/15/14
Contact Name: RA Nelson
Address: 51 Eagle Rd
City Avon State: CO ZiP: 81620
ContaCt Name: Grant Smith (use additional sheet if necessary)
Contact Phone: 970-391-9736 ` "
, ' Building Permits:
' Revised ADDITIONAL Valuations Labor�Materials
'Contact E-Mail: 9smith@ranelson.com ( 1
(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 an state laws, and to build this structure according Electrical: $
to the town's ning subd' 'sion codes, design review ap-
' proved,Int ati Bui ' g a d Residential Codes and other Mechanical: $
ordinanc rof e T wn ap lic le thereta
X � Total: $0
Owner/Owner' Repre tative ignature Required)
Date Received:
� � � � o � �
For Office Use Only: �. � �(���
Fee Paid: ��� �� � � �
Received From:
Cash Check# T�WN OF V�►�L
CC: Vsa/MC Last 4 CC# exp.date:
Authorization#