HomeMy WebLinkAboutB14-0381_B14-0381 REV1 transmittal_1451415300.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL ' Vail, 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: 13 Revisions
PRJ14-0497 DRB150556 Martin Haeberle Q Response to Correction Letter
I I attached copy of correction letter
Q Deferred Submittal
0 Other
Project Street Address:
5116 Main Gore Drive N
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
change of previously approved roofing
Applicant Information material: Sheets A0.1 , A1.2, A2.1 , A2.2
(architect, contractor, owner/owner's rep)
Contact Name: Seth Bossung (architect)
Address: 53 Red Barn
Edwards CO 81632
City State: Zip:
Contact Name: (use additional sheet if necessary)
Contact Phone: (970) 390-0013
Building Permits:
Seth@intentionarchitecture.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: $
ordinances • t To n applicable theret.
X - ( '� I 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 #