HomeMy WebLinkAboutB16-0192.001 transmittal.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
DRB17-0094 Chris Neubecker 0 Response to Correction Letter
rl attached copy of correction letter
O Deferred Submittal
Permit B16-0192 J.R.Mondragon (®Other
Project Street Address:
2528 Arosa Drive
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Revision 1 -8-24-16 Material changes-DRB approved
Applicant Information
Revision 2-3-23-17 Additional Material Changes-DRB approved
(architect, contractor, owner/owner's rep)
Note: No structural revisions. Exterior cosmetic only.
Contact Name: John G Martin,Architect
Address: PO Box 4701
City EagleState: CO Zip: 81631
Contact Name: John Martin
(use additional sheet if necessary)
Contact Phone: 970-328-0592
Building Permits:
john@martinmanleyarchitects.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 of the Town applicable thereto.
X 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 #