HomeMy WebLinkAboutTOV ASI website transmittalsheet Vail Spa Public safely plan.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: 0 Revisions
b Response to Correction Letter
Case#B16-0029 Martin Haeberle
n attached copy of correction letter
o�Deferred Submittal
R_J Other Poblic safety plans
Project Street Address:
710 W. Lionshead Circle
(Number) (Street) (Suite#)
Building/Complex Name: Vail Spa Condminiums Description of Transmittal/List of Changes, Items Attached:
Public safety plans
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: RA Nelson LLC
Address: 51 Eagle Rd.#2
City Avon State: CO Zip: 81620
Contact Name: Mike Kowalski
(use additional sheet if necessary)
Contact Phone: 970 445-1351
Building Permits:
rehlers@ranelson.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, International Building and Residential Codes and other Mechanical: $
ordinances of the Town applicable thereto.
X Digitally signed by Mike Kowalski $0
Mike Kowalski DN C=US,E=mkoMike Kowalski n com,O=RA Nelson LLC, Total.
CN=MIke Kowalski
Dale.d
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 #