HomeMy WebLinkAboutB15-0289_B15-0289 transmittal_1445439360.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: 0 Revisions
1315 0289 O Response to Correction Letter
rl attached copy of correction letter
l Deferred Submittal
(0 Other
Project Street Address:
380 E Lionshead Circle 320
(Number) (Street) (Suite#) • ._._______
Building/Complex Name: Lodge At Lionshead 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:
nedbo.com Revised ADDITIONAL Valuations(Labor&Materials)
warren
Contact E-Mail: @ (DO NOT include original valuation)
I hereby acknowledge that l have read this application,filled out i 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, Internati. al Building and Residential Codes and other Mechanical: $
ordinances r tre Tow pplicable t reto.
`,...� Total: $0
Owner/Owner's Representative Signature(Required)
l
I Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#