HomeMy WebLinkAboutB12-0372 REV1 TRANSMITTAL 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: Revisions
Response to Correction Letter
c1 �L{�C-t 0 attached copy of correction letter
Q Deferred Submittal
c�7 W r�RitEA Other
Project Street Address:
16ts� -PWftk<
(Number) (Street) (Suite#)
Building/Complex Name: �RRK t�,PCTER50r4 TRUSS Description of Transmittal/List of Changes, Items Attached:
cad~a���o�� bo�cl.•�c- w�l�S I o
Applicant Information
ce,bu� l�
(architect,contractor,owner/owner's rep) \Os,
Contact Name:
Address: Q o O X �. 3
City tG!2AQ_ State:ee: CO zip: DI�1
Contact Name: S eGn
(use additional sheet if necessary)
Contact Phone: �1 lb 9 04-a l0 l0 Building Permits:
f I Revised ADDITIONAL Valuations(Labor 8,Materials)
Contact E-Mail: SMOO�.� (?� 6by Q,• Cows I(DO NOT include original valuation)
� I
1 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 �� Total: $0
Owner/Owner's R ese tative re(Required)
Date Received:
For Office Fse Onh D p
Fee Paid: MAR 0 8 2013
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: TOWN OF VAIL
Authorization #