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HomeMy WebLinkAboutB13-0113 REV1 Department of Community Development {' 75 South Frontage Road Vail,CO 81657 TOiIEY Irl � 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: Revisions 3 (Response to Correction Letter []_attached copy of correction letter Deferred Submittal ,�j`©�1 (Other Project Street Address: / L S7S "S pie-1 ' -I'd2. CI ✓�k J51 7f (Number) (Street) (Suite#) Building/Complex Name: Description of Transmittal/List of Changes, Items Attached: c.fiwa,1 (ey�S �c�vl � ] Applicant Information G 1:7-o J¢; /�� areQ (architect,contractor,owner/owner's rep) Contact Name: (�tr�e 1a rr'nf �l Address: '/ City V Q i I State: �O Zip: y'(6�g Contact Name: SL­r I -R (use additional sheet if necessary) I Contact Phone: (:� 76 376 J Z 7:5-(�3 Building Permits:: 6 — / / r Revised ADDITIONAL Valuations (Labor&Materials) Contact E-Mail: `��4 c� Cost.tV 7 ITI(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: $ 3 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 TkOn applicable thereto. s � Total: $B OwneNOwner's R resentative Signature(Required) -------------------------------------_------ --------------------------------------------------------------- Date Received: �n V r D For Office Al c� e1013 JUN 13 L : C&Check# Last 4 CC# exp.date: TOWN OF VA I L Authorization#