HomeMy WebLinkAboutTransmittal_2.pdf Department of Community Development
75 South Frontage Road
TOWN Of fL 1 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: (J Revisions
DRB 16150422 Chris Neubecker O Response to Correct on Letter
El attached copy of correction letter
Q Deferred Submittal
O Other
Project Street Address:
5187 Black Gore Drive
(Number) (Street) (Suite#)
Building/Complex Name: Frost Townhome Description of Transmittal/List of Changes, Items Attached:
Attached:CD's dated 9.22.16, description letter
Applicant Information
Revisions:Add window on East Elevation,Delete entry door
(architect,contractor,owner/owner's rep)
sidelight @ Unit 1, Delete square 2nd floor window
Contact Name: Leah Mayer
@ Unit#2,Add 2 windows @ west elevation,
Address: P0 Box 9195
extend approve[date for Spring 2017 construction..
City Avon State: CO Zip: 81620
start.
Contact Name: (use additional sheet if necessary)
Contact Phone: 970-376-6623
Building Permits:
er Iksmdesi n-com Revised ADDITIONAL Valuations(Labor&Materials)
ima
Contact E-Mail: y @ g (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 ail the information,as required is correct_ I.agree to Plurnbin : S
comply with the information and plot plan,to comply with all Town
ordinances anii ate laws, and to build this structure according Electrical: $
to the town's *n ng.nd codes, design review ap-
proved.Int' alio •i.i •'esidential Codes and other Mechanical $
ordinan s of T. ape. le thereto.
/ /.61 Total_ $0
Own: /Owners Representative Si_,�y�tQ'(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From.:
Cash Check#
CC: Visa/ MC Last 4 CC# exp. date:
Authorization #