HomeMy WebLinkAboutPEC140013_PEC140013 Transmittal_1400170020.pdfTOWN OF~ Department of Community Development
75 South Frontage Road
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 re issuance of the permit.
Application/Pennit #(s) infonnation applies
to: Attention: 0 Revisions
PEC140013 Joe Batcheller O Response to Correction Letter
.o_attached copy of correction letter 0 Deferred Submittal
Project Street Address:
286 Bridge Street
(Number) (Street) (Suite#)
Building/Complex Name: _A_&_D_B_ui_ld_in_g _______ _
Applicant lnfonnation
(architect, contractor, owner/owner's rep)
Contact Name: Sylvan Ellefson
Address: 12 Vail Road
City Vail state: _s_o __ Zip: 81657
Contact Name: ------------------
Contact Phone: 970-331-2067 ------------------
Cont a ct E-Mail: Sylvan@10thwhiskey.com
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto. X. _______________ ~
Owner/Owner's Representative Signature (Required)
For Office Use Only:
Fee Paid:-------------------
Received From:-----------------
Cash---------Check#--------
CC: Visa I MC Last 4 CC # exp. date: ____ _
Authorization#-----------------
QOther __________ _
Description of Transmittal/ List of Changes, Items Attached:
Amending CUP application to include outdoor seating.
(use additional sheet if necessary)
Building Pennits:
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building: $
Plumbing: $
Electrical: $
Mechanical: $
Total: $0
Date Received: