HomeMy WebLinkAboutB16-0426.002 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: 0 Revisions
B16 0426 JR Mondragon 0 Response to Correction Letter
rl attached copy of correction letter
O Deferred Submittal
0 Other Addl,lonaI Work
Project Street Address:
2684 Larkspur Court
(Number) (Street) (Suite#)
Building/Complex Name: Single-Family-Renovation Description of Transmittal/List of Changes, Items Attached:
Additional Work to existing permit application
Applicant Information
All work at Main Level kitchen
(architect, contractor, owner/owner's rep)
No exterior work, no addition of GRFA
Contact Name: Van Diemen Inc.
Address: 2830 Basingdale Blvd.
City Vail State: CO Zip: 81657
Contact Name: Pete Cope
(use additional sheet if necessary)
Contact Phone: 970-390-2106
Building Permits:
vandiemeninc@gmail.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 John G Martin,Architect Total: re : Pete Cope $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 #