HomeMy WebLinkAboutB13-0041 REV2 TRANSMITTAL Department of Community Development
0 75 South Frontage Road
TOWN OF VAIL ` Vail, CO 81657
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: &<e-visions
()Response to Correction Letter
uL�� flattached copy of correction letter
( red Submittal
®Other
Project Street Address:
5o -14 e.REEK
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Applicant Information
�i QLlctult� E(J1 SION
(architect, contraac�tor,owner/owner's rep)
`
Contact Name:— ()1.1> C.&&L)A.)
Address:2S08// �c yLt���.
City l.n6() ` ,7 State: Zip:
F
Contact Name: (use additional sheet if necessary)
Contact Phone: Building Permits:
Revised ADDITIONAL Valuations (Labor&Materials)
Contact E Mail: (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 Build and Residential Codes and other Mechanical: $
ordinances o wn p icabl thereto.
X Total: $0
Owner/Owner' esenta ture (Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#