HomeMy WebLinkAboutB15-0012 REV1 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIs 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.
Thisform 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: 0 Revisions
0 Response to Correction Letter
Permit#B15-0012 Carolyn Godfrey jEattached copy of correction letter
Deferred Submittal
Project#PRJ14-0369 Todd Oppenheimer 0 Other
Project Street Address:
530 S Frontage Rd E
(Number) (Street) (Suite#)
Building/Complex Name: Ford Park Lower Bench Restrooms Description of Transmittal/List of Changes,Items Attached:
Submittal of swing set structure as noted on sheet S2.2
Applicant Information
as a condition of permit approval. Note that the original
(architect,contractor,owner/owner's rep)
permit is through RA Nelson, I have included both
Contact Name: Zehren and Associates/RA Nelson
Address: PO Box 1976/PO Drawer 5400
myself and RA Nelson as contacts.
City Avon State: CO Zip: 81620
Contact Name: Michael Rodenak/Mike Kowalski
(use additional sheet if necessary)
Contact Phone: 970-949-0257/970-445-0351 Building Permits:
ichaelr zehren.com;mkowalski@ranelson.com
Revised ADDITIONAL Valuations(Labor&Materials)
m
Contact E-Mail: °e @ (DO NOT include original valuation)
I hereby acknowledge that I have read this application,tilled 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 - -te laws,and to build this structure according Electrical: $
to the town's n • and subdivision codes, design review ap-
proved,Inter -p •` Building-and-Residential Codes and other Mechanical: $
ordina•=- • t town applicable thereto:
X -`�� Total: $0
Owner/Owner's Rep _ entative Signature(Required) -
Date Received:
For OMee UseOnl}:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#