HomeMy WebLinkAboutB14-0399 REV1 Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OFD 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: • Revisions
614-0399 Shelley Bellm Response to Correction Letter
attached copy of correction letter
0 Deferred Submittal
O Other J
Project Street Address:
530 South Frontage Road East
(Number) (Street) (Suite#)
Building/Complex Name: Betty Ford Alpine Gardens Description of Transmittal/List of Changes, Items Attached:
— Re-insertion of all rooftop components into the documents.
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Jack Hunn, Hunn Consulting Group, LLC
Address: PO Box 1095
City Vail State: CO Zip: 81657
Contact Name: Jack Hunn
(use additional sheet if necessary)
Contact Phone: 970-390-4537 Building Permits:
ack hunnconsultln rou Com Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:1 @ gg p (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 zonin• and subdivision codes, design review ap-
proved,Intematio -I Building and Residential Codes and other Mechanical: $y
ordinances . he own applicable thereto.
X Total: $0
Owner Owner's -e.resentative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#