HomeMy WebLinkAboutB13-0055 CR1 TRANSMITTAL j Department of Community Development
75 South Frontage Road
Vail,CO 81657
1_O11YIV 9 F VAIL 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.
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Application/Permit#(s)information applies
to: Attention: C)Revisions
O Response copy of Letter
U attached co of correction letter
Q Deferred Submittal
(0 Other
Project Street Address: n
(oD0 VA1/Y#tC6� D2tUC
(Number) (Street) (Suite#)
Building/Complex Name: r A 05 Z)�gL &Q.1 E Description of Transmittal/List of Changes,Items Atfached:
C A&REC-►F o
Applicant Information
(architect,contractor,owner/owner's rep) T—
Contact Name: e ��lubmY-
Address: ?D R004 19
City VA I L State: CD Zip: 0 �sg
Contact Name: WAU-JC:" eoy- (use additional sheet if necessary)
Contact Phone:
quo- �oo�
Building Permits:
Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: tt)Q:rnp t% a? neliko. CAM (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: $
X W L� Total: $U
Owner/Owners Representative Signature(Required)
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Date Received:
For Office Use Only: [CAPR Fee Paid: Q 0 2013
Received From-
Cash Check#
CC: Ursa/MC Last 4 CC# exp.date: q,Authorization# OF yAIL