HomeMy WebLinkAboutB12-0111 - REV1 - 091312 MECHANICAL ADDITIONS approvedDepartment of Community Development
75 South Frontage Road
TOWN OF VAII ;< 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) informati p "plies' r
to: Attention:) Revisions
Response to Correction Letter
i C'r (
j `; ,• ,
I Lr/ attached copy of correction letter
2— + J`uJ '^`r U'( )
OtherredSubmittal
Project Street Address:
o3 WI LLaW PL_ I / ZOG
Number) (Street)
y / c (
Suite #)
Building /Complex Name: `" wS 1' Description of Transmittal/ List of Changes, Items Attached:
Y4
Applicant Information
architect, contractor, owner /owner's rep)
Contact Name:
Address: f • . g O x ip 6
City l / NTi t /l l State: 0 Zip: 1 4/ - -1 IV G -A46
Contact Name: (use additional sheet if necessary)
Contact Phone: q-10 2_0 % 3
Building Permits:
6_#_r .2b C,) 14(i) -,Deu 46--Revised ADDITIONAL Valuations (Labor & Materials)
Contact E -Mail: C (DO NOT include original valuation) 6 A4 .
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 Z® o'
ordin s of the Town ap aWcnhepto.
X Total: $ 9 Z0 O
046'e'rbwner's Representative Sign ture a uired) - -- - - --
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC #
Auth #
exp. date:
Date Received:
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Reviewed for Code Compliance
Code: 2009 International Building Code (IBC)
By Martin Haeberle at 8:16 am, Sep 19, 2012 REV #1