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HomeMy WebLinkAboutB16-0042 Transmittal.pdfTOWN Of~ Deparbnent of Community Development 76 South Frontage Road Vall, CO 81667 Tel: 970.479.2128 www.vallgov.com Development Review Coordinator TRANSMITTAL FORM Use this fonn when submitting additional infonnation for planning applications or building pennits. This fonn is also used for requesting a revision to building pennits. A two hour minimum building review fee of S110 will be charged upon reissuance of the pennit. Application/Pennlt #(s) lnfonnatlon applies to: Attention: corrections 816-0042 E16-0019 JR Mondragon ~Revisions Response to Correction Letter attached copy of correction letter 0 Deferred Submittal Project Street Address: 595 Vail Valley drive (Number) (Street) 217/267 (Suite#) Building/Complex Name: _M_a_n_o_r_V_ai_I ________ _ Applicant lnfonnatlon (architect, contractor, owner/owner's rep) Contact Name: Matt Hansen-EGE Design Build Address: PO Box 2354 City Vail State: _c_o __ Zip: 81658 Contact Name: _M_a_tt_H_a_n_s_e_n ___________ _ Contact Phone: 9704011100 ---------------~ Contact E-Mail: matt@ecedb.com I hereby acknowledge that I have read this application, filled out in full the infonnation required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the infonnation and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review ap- prov~, I temation I Building and Residential Codes and other ordi s of own a licable thereto. ,/ .. For Oftlce Use Only: Fee Paid:----------------- Received From:---------------cash ________ 01eck # ______ _ CC: Visa I MC Last 4 CC # exp. date: ---- Authorization# ______________ _ QOther __________ _ Description of Transmittal/ List of Changes, Items Attached: Corrections letter, updated plans with specs, (use additional sheet if necessary) Building Pennlts: Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT Include original valuation) Building: Plumbing: Electrical: Mechanical: Total: Date Received: so so s250 s2so s5oo ~~~aw~ n At-ii< OB 2016 u '~ c.r.rr TOWN OF VAIL