HomeMy WebLinkAboutB13-0012 ILC transmittal ��,; F Department of Community Development
75 South Frontage Road
Vail, CO 81657
j d W� �� va��. x Tel: 970-479-2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting addiiional 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 Attention: O Revisions
to: O Response to Correction Letter
,,V.� !� `\`� attached copy of correction letter
�-� [ n � ( )Deferred Submittal
���J � � --[�j'� �I � - 'P��v, ( )Other _
Project Street Address: `yZ
C�� K'v e�f ��= _
(Number) (Street) , (Suite#)
j �' �SS�JC i/� T�--� Description of TransmittaV List of Changes, Items Attached:
Building/Complex Name: ��`1C���� T �
:T�- C�-�
Applicant Information '
(architect,contractor,ownerlowner's rep) .
Csnt
act Name: lC-f 7CP�.�.- �/U��S/)
Address:
' City State: Z�P�
Contact Name: `������� � �� �/ G (use additional sheet if necessary)
Contact Phone: �' 7 I � d � Q 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. t agree to Plumbing:
' comply with the information and plot plan,to comply with all Town –
accordin 'ElectricaL
� this structure 9
ordinances and state laws, and to budd �
to the town's zoning and subdivision codes, design review ap- ' Mechanical: $ — —
proved,Int mational Building and Residential Codes and other
' ordinan of the Tow pplic th eto. ';Total: � '
X �f � _ _ _ '
'pw r/Owner' epresentative Signature(Required) '
_
� __.. _. .
Date Received:
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For Office Use Only:
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Fee Paid:
Received From:
Cash Check# � TOWN OF VAIL
CC: Visa/MC Last 4 CC# exp.date:
Auth#