HomeMy WebLinkAboutTransmittal_8.pdf Department of Community Development
75 South Frontage Road
TOWN OF UAIZ 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: J Revisions
B16 0266 Plan Review 0 Response to Correction Letter
n attached copy of correction letter
Q Deferred Submittal
Guestrooms and Public Spaces 0 Other
Project Street Address:
2211 N.Frontage Road
(Number) (Street) (Suite#)
Building/Complex Name: DoubleTree Conversion Description of Transmittal/List of Changes, Items Attached.
Additional finishes,fixtures and finishes(FFE) not included
Applicant Information
in Construction Documents
(architect, contractor,owner/owner's rep)
Contact Name: Thomas Dodson —
Address: 101 S. 15th.Street,Suite 200
City RichmondState: Va Zip: 23219 -
Contact Name: Thomas Dodson
(use additional sheet if necessary)
Contact Phone: (804)728-3098
Building Permits:
tdodson@baskervill.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: $10,000
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $1,000
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $0
to the town's zoning and subdivision codes, design review ap-
prav-. -Int:I-national Building and Residential Codes and other Mechanical: $0
imam, • the Town .pplica•r- the eta
I I $11
l/ Ad r� �� Total:
0 •• i er's Representati - Sign.cure (Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check# _
CC: Visa/MC Last 4 CC# exp. date:
Authorization #