HomeMy WebLinkAboutB13-0274 transmittal �
Department of Communify Development
75 South Frontage Road
TOWN OF VAIL ` va�i, 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 aiso used fior 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
}� 1� , Q^ � ' ` �Response to Correction Letter
.[.� 1 0� ""� L17�! �attached copy of correction letter
��� `�' O�� � �Deferred Submittal
l f�Other
Project Street Address:
�S -�c�sr��v��
(Number) (Street) (Suite#}
Building/Complex Name: ' Description of Transmittal/List of Changes, Items Attached: .
. .. . __ _ _ . �,���� l.�A�s7-c UF T, �n�s .
Applicant Information —f—� „� �Q,� a
- �pT �ArT�R Tb lVEaGe�L�NQ � ;
(architect,contractor,owner/owner's rep)
L�N
� " J�'l,a)�11.,�JEL
Contact Name: �.A(„'�f,�C Vjg��Y P1,�,�r�, l� �' �/_�
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Address:_�O L��L ����
City �UD/1l State:�0 Zip: �O,�Q
Contact Name: �6s.R U1 tLC�DA •;(use additional sheet if necessary)
f_: :_. ., , . _ . _: . . .
Contact Phone:�7d+Q 7?— (�S(D r] Bu�lding Permits:
+ l �1 Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: t'e�r V! ( c3Q O na .
���� t ne}— :(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 corcect. 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 z ning nd subdivision codes, design review ap-
proved, Int n t' il ing and Residential Codes and other i Mechanical: $
ordinanc e n licable thereto.
X Total: $� ����.�D
OwnerlOw sent ive Signature(Required) �
Date Received:
� � � lJ V �
For OtTice Use Only: D
Fee Paid: ��� � 4 Zn�•y
Received From:
U3
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: TC�WN OF V/-�IL
Authorization#