HomeMy WebLinkAboutB14-0264_B14-0264 REV2 transmittal_1438973760.pdf Department of Community Development
• 75 South Frontage Road
TOWN OF VAll Vail, CO 81657
Tel: 970479.2128
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: 0 Revisions
894 0264 0 Response to Correction Letter
n attached copy of correction letter
i )Deferred Submittal
(®Other
Project Street Address:
100 Vail Rd
(Number) (Street) (Suite#)
Building/Complex Name: Private Residence/Duplex Description of Transmittal/List of Changes, Items Attached:
Engineer Stamped plans and specifications for large
Applicant Information
custom gas fireplace being installed 3rd level Primary
(architect,contractor,owner/owner's rep)
side living room
Contact Name: Nedbo Construction
Address: PO Box 3419
City Vail State: CO Zip: 81657
Contact Name: Warren Krok
(use additional sheet if necessary)
Contact Phone: 970-845-1001 Building Permits:
warren nedbo,com =Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: @ (DO NOT include original valuation)
I hereby acknowledge that 1 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 I 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: $
ordinances offilMown plicable thereto.
X Total: $0
Owner/Owner's Representative Signature (Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#