HomeMy WebLinkAboutB15-0065 B15-0066 ILC Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL A 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: 0 Revisions
815-0065 and B15-0066 Planning 0 Response to Correction Letter
rl attached copy of correction letter
()Deferred Submittal
fOther Foundation iLC
Project Street Address:
223A/B Beaver Dam Road
(Number) (Street) (Suite#)
Building/Complex Name: Gore Creek Residences Description of Transmittal/List of Changes, Items Attached:
Foundation ILC
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Vail Custom Builders
Address: P.O. Box 2809
City Edwards State: CO Zip: 81657
Contact Name: Benno Scheidegger
(use additional sheet if necessary)
Contact Phone: 970-331-6130 Building Permits:
vaiEcustom.com Revised ADDITIONAL Valuations(Labor& Materials)
benno@vailcustom.com
E-Mail: °� (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $0
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $0
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $0
to the town's zoning and subdivision codes, design review ap-
proved,In ational Building and Residential Codes and other Mechanical: $0
ordinanc• - of thy .wn applicable thereto.
X Total: $
Owner/owner's Representative Signature(Required) J
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#