HomeMy WebLinkAboutB15-0290_B15-0290 transmittal_1445439240.pdf Department of Community Development
75 South Frontage Road
TOWN OF 111111. 1 ' 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 4290 0 Response to Correction Letter
I-1 attached copy of correction letter
C)Deferred Submittal
(®Other
Project Street Address:
380 E Lionshead Circle 330
(Number) (Street) (Suite#)
Building/Complex Name: Lodge At Lionshead f Description of Transmittal/List of Changes, Items Attached:
Applicant Information
Submittal of engineered welding special inspection report
(architect, contractor,owner/owner's rep)
Contact Name: Nedbo Construction
Address: PO Box 3419
City Vail State: CO zip: 81658
Contact Name: Warren Krok (use additional sheet if necessary)
Contact Phone: 970-845-1001
Building Permits:
warren@nedbo.com
i 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: $
ordinancemorthe Thr applicable thereto.
X "jy/ (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#