HomeMy WebLinkAboutB16-0429.001 Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OFVA1L 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
816 0429 Bid Department C)Response to Correction Letter
fl_attached copy of correction letter
0 Deferred Submittal
0 Other
Project Street Address:
1193 Hornsilver Circle
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Elevator roof structural change (No cost impact)
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Mitch Sturde
Address: P0 Box 373
City Vail State: Co Zip: 81657
Contact Name: Mitch Sturde
(use additional sheet if necessary)
970-390-5fi{}5 ,.. ,:.
Contact Phone: Building Permits:
shaefferh de.com Revised ADDITIONAL Valuations(Labor&Materials)
mitchs
Contact E-Mail: @ y (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $0
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct, I agree to Plumbing: $0
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 zon' g and subdivision codes, design review ap- -
provednate a :uilding and Residential Codes and other Mechanical: $0
ordina ' • thereto.
X l�w�►-.w? Total: $
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 #