HomeMy WebLinkAboutB15-0213_B15-0213 REV1 transmittal_1440517080.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: ®Revisions
B15 0213 Martin Haeberle 0 Response to Correction Letter
rl attached copy of correction letter
O Deferred Submittal
(®Other
Project Street Address:
1755 W Gore Creek Drive
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Footprint of the lower level changed due to flood plain.
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: R.A.Nelson LLC
Address: 51 Eagle Road#2, P.O. Drawer 5400
City Avon State: CO Zip: 81620
Contact Name: Ryan LaVire
(use additional sheet if necessary)
Contact Phone: 970-471-9948
Building Permits:
rlavire@ranelson.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: $558404
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $43660
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $37220
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $27710
ordinances of the Town applicable thereto.
X Ryan LaVire Total: $666994
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 #