HomeMy WebLinkAboutB13-0025 REV1 TRANSMITTAL Departrnent of Cornmunity Development
75 South Frontage Road
Vail,CO 8657
T U 1,41 N OF VAIL `1Tel: 970.479.2128
www.vailgov.corn
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,
....... ---------------------- I-------------—---------
Application/Permit 9(s)information applies
to: Attention: 0 Revisions
3 )ltf Response to Correction Letter
_Tj
attached copy of correction letter
Deferred Submittal
fQ Other
............ -------
Project Street Address:
9,11 Spiiic)s-ra,�c- JN-_ 2#15
(Number) (Street) (Suite#)
Building/Complex Name: �_eP6_o-Tprar- Description of Transmittal/List of Changes, Items Attached:
Applicant Information
Foa
(architect contractor,owner/owner's rep) f)acK.
C-C ry-)O-)r I.0:(I)C AJ
Contact Name: 7
Address:
C State: Zip: �05%
Contact Name: (use additional shoot if necessary)
City
Contact Phone:
Building Permits:
L Valuations(Labor&Materials)
Contact E-Mail: C*iti,,sins6ke"nvcLt(q.Dv-a(--thkil\v Revised ADDITIONA'.f\& (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 Wth 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,Intern
42nal Building apOfe;;Menti 0 Codes and other Mechanical: $
ordinancelze'of e To abL6Jhweti5_/
Total: $0
Owner/Owner's Rep senta'tiZ Sighature(Required) ....... ---------
Date Received:
For Office Use Only:
Fee Paid:
Received From: MAR 08 2013
Cash Check
CC: Visa/WIC Last 4 CC# erp.date:
Authorization#
TOWN OF VA IL