HomeMy WebLinkAboutB14-0096 REV1 TransmittalTRANSMITTAL FORM
Project Street Address:
__________ ______________________________ ___________
(Number) (Street) (Suite #)
Building/Complex Name: ________________________________
Building Permits: Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation)
Building: $_____________________
Plumbing: $_____________________
Electrical: $_____________________ Mechanical: $_____________________
Total: $_____________________
Description of Transmittal/ List of Changes, Items Attached:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________ (use additional sheet if necessary)
Application/Permit #(s) information applies t o : A t t e n t i o n : ( ) Revisions
( ) Response to Correction Letter ____________________________________ __________________________ ___attached copy of correction letter
( ) D e f e r r e d S u b m i t t a l ____________________________________ __________________________ ( ) Other
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.
Date Received:
Department of Community Development 75 South Frontage Road Vail, CO 81657 Tel: 970.479.2128 www.vailgov.com Development Review Coordinator
For Office Use Only:
F e e P a i d :
R e c e i v e d F r o m :
Cash _____ ____ Check # __ _ _______
CC: Visa / MC Last 4 CC # exp. date:
Authorization #
Applicant Information
(architect, contractor, owner/owner’s rep)
Contact Name: ________________________________________
A d d r e s s :
City _____________________ State: _______ Zip: ____________
Contact Name: _________________________________________
Contact Phone: _________________________________________
Contact E-Mail: _________________________________________
I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap-proved, International Building and Residential Codes and other ordinances of the Town applicable thereto. X___________________________________________________
Owner/Owner’s Representative Signature (Required)
Snowberry Duplex
Text
Martin Haeberle
Permit # B14-0096
2754 Snowberry Drive
Seth Bossung - Intention Architecture
53 Red Barn
Edwards CO 81632
Seth Bossung
970-390-0013
seth@intentionarchitecture.com
Revised S8 showing welded connections
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