HomeMy WebLinkAboutB14-0042 REV11 transmittal Department of Community Development
75 South Frontage Road
TOWN OF UAIL $ vai�, 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
PRJ13-0699 Martin A. Haeberle (�Response to Correction Letter
�attached copy of correction letter
� 814-0042 (,�Deferred Submittal
((�j Other
Project Street Address
1265 North Frontage Road
(Number) (Street) (Sulte#)
Building/Complex Name: Lion's Ridge Apartment Homes " Description of Transmittal/List of Changes, Items Attached:
Deferred Submittal:
Applicant Information
Bldg 1 -Signage
(architect,contractor,owner/owner's rep)
Contact Name: Ben Marshall
Address: 200 N. Main St.
City Oregon State: W� Zip; 53575
.Contact Name: Be� M11'Sh811 �� (use additional sheet if necessary) �
Contact Phone: 608-835-5534
Building Permits:
bmarshall@gormanusa.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: $
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, International Building and Residential Codes and other Mechanical: $
Xrdinance�Af the Toytn}�plica� thereto.
�� /7�/ �Total: $0
Owner/Owner's Re resentative�Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#