HomeMy WebLinkAboutB14-0043 REV11 transmittal � Department of Community Development
75 South Frontage Road
TOWN OF VAIL � vaa, CO 87657
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
PRJ13-0699 Martin A. Haeberle �attached copy of correction letter
. B14-0043 ('Deferred Submittal
!�Other
Project Street Address
1265 North Frontage Road
(Number) (Street) (Suite#)
Building/Complex Name: Lion's Ridge Apartment Homes Description of Transmittal/List of Changes, Items Attached:
. �� Deferred SubmittaC .
Applicant Information
�. Bldg 2-Signage
(architect,contrector,owner/owner's rep)
Contact Name: Ben Marshall
Address: 200 N. Main St
City Oregon State: WI ZiP: 53575
Contact Name: Ben Marshall (use additional sheet if necessary)
Contact Phone: 608-835-5534 Building Permits:
bmarshall@gormanusa.com Revised ADDITIONAL Valuations(Labor 8 Materials)
Contact E-MaiL (DO NOT indude 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 I Mechanical: $
ordinane s of the T���licable tt c`�to.
X ��_ ��7� � Total: $0
Owner/Owner's R present�t' e Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization #