HomeMy WebLinkAboutB16-0092.001 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: (D Revisions
Department Response to Correction Letter
Permit#B16-0092 Building P attached copy of correction letter
Q Deferred Submittal
b Other
Project Street Address:
84 Beaver Dam Road
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached
Update project valuation, add mechanical&plumbing to
Applicant Information
scope of work for remodel of existing bathroom and snowmelt
(architect,contractor,owner/owner's rep)
Electrical work to be applied for in separate permit.
Contact Name. Shaeffer Hyde Construction --w
Address: Po Box 373 — - �--
City Vail State: CO Zip: 81658
Contact Name: Rob Fawcett (use additional sheet If necessary)
Contact Phone: 970-390--1114 Building Permits:
Contact E-Mail: robf@shaefferhyde.com Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building $490000
in full the information required,completed an accurate plot plan, 92000
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: $0
to the town's zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Mechanical. $3000
ordinances e Town applicable thereto.
X Total: $585000
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#