HomeMy WebLinkAboutB14-0477 REV2 Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAll A 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: Q Revisions
0 Response to Correction Letter
PRJ14-0675 Building Department:
❑ attached copy of correction letter
B14-0477 Mark Haberle,Shelley Bellm Deferred Submittal
Other 0 O
Project Street Address:
108 South Frontage Road
(Number) (Street) (Suite#)
Building/Complex Name: VVMC Medical Professional Building Description of Transmittal/List of Changes, Items Attached:
Revisions to floor plans on Level 1 and Level 3:
Applicant Information
G001,G002,A100.1,A100.3,A101.1,A101.3,A400.1,A400.3,A403.3,
(architect,contractor,owner/owner's rep)
A600.2,A601.1,A601.3,A602.1,A602.3,A604,FFE00,S-1,E001,E002,E004, •
Contact Name: Thinh Nguyen
E101,E103,E201,E203,E301,E302,E303,M003,M103,M201,M301,
Address: 555 17th Street,Suite 500
M303,M401,M403, P201,P203,T101,T103
City Denver State: CO Zip: 80202 — - - - -
Contact Name: Thinh Nguyen
(use additional sheet if necessary)
Contact Phone: 303-575-6454
Building Permits:
tnguyen@heery.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,Internation_aJJuilding and Residential Codes and other Mechanical:
ordinances of the T5wn applicable thereto.
X •-'� Total: $0
Owner/Owner's I'epreseritative-Signature(Required)
Date Received:
IFor Office Use Only:
Fee Paid:
Received From: _
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#