HomeMy WebLinkAboutB12-0274 FRAMING ILC TRANSMITTAL 053113 Department of Community Development
75 South Frontage Road
Vail,CO 81657
TOW N a F 1.A,II 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: O Revisions
O Response to Correction Letter
I Z Q
El attached copy of correction letter
Deferred Submittal
(e0 Other
Project Street Address:
(Co-7 7 y
(Number) (Street) (Suite#)
Building/Complex Name: i I � l- y Description of Transmittal/List of Changes, Items Atfached:
Applicant Information ) (/J ��
(architect,contractor,o/wnerlowner's rep)
Contact Name:�
Address: l'° azDo
City �/ I'\U7 State: w 73p: 1 r
Contact Name: V I �" ,) (use additional sheet if necessary) !l
Contact Phone: `/ Building Permits:
Al LoM Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: 1 " (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: $
ordinances of the Town applicable thereto.
X Total: $B�
Owner/Own r' r s ntative Si (R uired) -----------------------------------------------------------------
—
Date Received:
For Office Use Only: 1
3 2013
Fee Paid:
Received From:
� , Check# TOWN OF VAIL
CC: Visa/ MC Last 4 CC# exp.date:
Authorization#