HomeMy WebLinkAboutB14-0477 REV3.pdf Department of Community Development
75 South Frontage Road
TOWN � ��� 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
0 Response to Correction Letter
PRJ14-0675 B14-0477 Martin Haeberle
rl attached copy of correction letter
Carolyn Godfrey O Deferred Submittal
(®Other
Project Street Address:
108 South Frontage Road
(Number) (Street) (Suite#)
Building/Complex Name: Medical Professional Building Description of Transmittal/List of Changes, Items Attached:
Replace front doors.
Applicant Information
Add automatic operation.
(architect, contractor, owner/owner's rep)
Repair damaged storefront.
Contact Name: Thinh Nguyen
Address: 555 17tth Street,Suite 500
City DenverState: 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, Internati. al Building and Residential Codes and other Mechanical: $
ordinanc o e T. applicable thereto.
�� Total: $0
Own r/Ow •is Res e •ntative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization #