HomeMy WebLinkAboutB13-0228 CR1 TRANSMITTAL Department of Community Development
0 75 South Frontage Road
TOWN OF UAII# 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: O Ions
�j ZZ C R I esponse to Correction Letter
Q n fLattached copy of correction letter
[3 fj Other
Submittal
P oject Street Address:
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Applicant Information
(architect,contr ac r,oow,ner/owner's rep)
Contact Name: 1 �-l� - I
Address:
City State: Zip:
Contact Name: (use additional sheet if necessary)
Contact Phone: / Building Permits:
Revised Valuations(Labor&Materials)
Contact E-Mail: (DO NOT include original valuation) t
I hereby acknowledge that I have read this application,filled out Building: $ ` ®cam
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: $ �d 6�
to the town's Z and subdivision codes, design review ap-
tio I Building and Residential Codes and other Mechanical: $ r��
o thereto. i> ,
Total: $0
C� ovv is Representative Signature(Required)
Date Received:
For Office Use Only. d
Fee Paid: JUN 2
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: TOWN OF VAIe
L
Authorization#