HomeMy WebLinkAboutB13-0191 REV1 TRANSMITTAL Department of Community Development
75 South Frontage Road
TOWN QF UAlL� va�i, co s�ss7
Tei: 970.479.2128
www.vaiigov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or building permits.
� This form is also used forrequesting a revision to building permits. A two hour minimum building review
fee of$110 will be charged upon reissuance of the peRnit.
Application/Permit#(s)information applies
to: Attention: Revisions
�Response to Correction Letter
f��f�/ C�jrJ'��-!T/� EV� �, 3'-O( � �, �attached copy of correction letter
�Deferred Submittal
I�•��/�/ G '�� �� <�/j"S��C��/L �Other
Project 9treet Address:
l 1� U��"�lf/P <���� Nl ;
(Number) (Street) (Suite#)
Building/Complex Name: ; Description of TransmittaU List of Changes, Items Attached:
_ _ a���,�: y o �o������,?,
Applicant Information
(architect,contractor,owner/owner's rep) � �� � ,, ` ,�,( nn
Contact Name: '� N ����� �,�►'T�`-' � J� ��(7�" ��� �i��s�
Address: �� ���
City {�/� �U��L State: �° .. Zip: �� '
Contact Name: .�v�//v �^GQ�� T/�,�' (use additional sheet if necessary)
l�, _
Contact Phone: �7� '—�7�— �'[g� � Building Permits:
Contact E-Mail: �DE/�' �'r����/L 6�/�il�lO/IIST�UG Revised ADDITIONAL Valuations�Labor&Materials)
n�`NOT include original valuation)
I IV��
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,Intem ional Building and Residential Codes and other Mechanical: $
ordinance To iC`�6� t �
X / Total: �
n r/Owner's Representative Signature(Required)
Date Received:
For OlTice Use Only D � � � � � �
Fee Paid:
Received From: { � �O��
Cash Check# �UL 1
CC: Visa/MC Last 4 CC# exp.date:
Authorization#
TOWN OF VAIL
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