HomeMy WebLinkAboutB12-0284 B12-0303 REV1 CR1 TRANSMITTAL FOR STAMPED TRUSS PLANS D E C F 0 W
JUN12 2013 Department at Communit Development
75 South Frontage Road
ILIL Vail,CO 81657
TOWN OF VAIL Tel: 970
www-vailgov.gov.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
Response to Correction Letter
kp_ — Q 0&)"4 O_attached copy of correction letter
j� O5U ( Other Submittal
Project Street Address:
je
(Number) (Street) (Suite#)
Building/Complex Name: % Description of Transmittal/List of Changes, Items Atfached:
Applicant Information
(architect,contrac ownerlowner's rep)
Contact Name: /c�aIle �WIA)
Address: D Z
City State: 06 Zip: f'
I
Contact Name: (use additional sheet if necessary)
Contact Phone: tl Building Permits:
Sa�/✓%r�UF-0T(�� (= l�rfiy� CO Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: r (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 towns zoning and subdivision codes, design review ap-
proved,International Building and Residential Codes and other Mechanical: $
ordinan the To ap icable thereto.X �of ��� Total: $0
Owner/Owner's Representative Signature(Required) ----------------------------------------------------------------------------------------------------------------
Date Received:
For Office Use Only:
Fee paid:
Remived From:
Cash Check#
CC. Visa I MC Last 4 CC# exp.date:
Authorization#