HomeMy WebLinkAboutB13-0180 CR1 TRANSMITTAL Department of Community Development
JUN 1 o 2013 75 South Frontage Road
TOWN OF VAIL Vail, CO 81657
C(A aw Tel: 970.479.2128
�s www.vailgov.com
TOWN OF VAIL 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: visions
O '� l�� C_� �,,,n n. 1 Response to Correction Letter
S�pl i (�'i� 1� attached co of correction letter
red Submittal
Other
Project Street Address:
-9 ,z)—qS
(Number) (Street) (Suite#)
Building/Complex Name: I YI mg— VA1L_ Description of Trani smittal/List of Changes, Items Attached:
Applicant Information el I k (A c `a' l 2 Ice
(architect,contractor,owner/owner's rep) ��
Contact Name: tom► �Vrvl}7c –�vl `Gv•
, ,/` �
Address: UrJ
City� State: 1_Zip; %_U
Contact Name: 94 , (use additional sheet if necessary)
Contact Phone: q,5, :2 qq� Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: ( (DO NOT include original valuation)
I hereby acknowledge that I have read this apocation,filled out Building: $ , p►v
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $ 2 , ODD -- C--
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 z g an bdivision codes, design review ap-
proved,Int ational Buildin and Residential Codes and other Mechanical: $ 2
ordinance of the T appl le thereto.
X Total: $0 ( o, e ,_ c..,.
Owner/Own s R ntative Ignature( equl
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#