HomeMy WebLinkAboutA15-0067 A16-0029.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL * 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: in Revisions
Permit0 Response to Correction Letter
#A15 0067 Mike Vaughan
rl attached copy of correction letter
Q Deferred Submittal
Project* PRJ14-0181 0 Other
Project Street Address:
756 Forest Rd
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
1. Relocate smoke detector and add a carbon monoxide
Applicant Information
detector in reconfigured lower level bedroom.
(architect, contractor, owner/owner's rep)
2. Add a carbon monoxide detector in newly added
Contact Name: Brad Wolniak
Address: 210 Edwards Village Blvd#A108 2nd kitchen.
City Edwards State: CO Zip: 81632
Contact Name: Brad Wolniak
(use additional sheet if necessary)
Contact Phone: 970-926-8788 Building Permits:
su erioralarmco.co. Revised ADDITIONAL Valuations(Labor&Materials)
brad
Contact E-Mail: @ 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: $650
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $
ordinacrceswaf_the Town applicable._thereto.
X Total: $650
Owner/Owner's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp. date:
Authorization#