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Home My WebLink AboutB12-0385 B12-0386 ILC TRANSMITTAL 0 75 Department of Community Development 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: ( ) Revisions 1 _ D�gs f Pn ( ) Response to Correction Letter Loy/ L i9I�A)i10� _attached copy of correction letter (La- eferred Submittal P231a-D398 ( ) Other Project Street Address: ,�gn I_ S�J o r�6EGZ2Y �� (Number) (Street) (Suite#) Building/Complex Name: AT)J, C,I, 14 LW RE5 Description of Transmittal/List of Changes, Items Attached: Applicant_Information i t (architect, contractor, owner/owner's rep) t Contact Name:tw DI Aryrg5 Co Address: 1 City � ✓�/(.) 'State:�Zip: Contact Name: �A yE �f )&&- ZA S t-, 1� (use additional sheet if necessary) Contact Phone: `/ © — /� — Ot�l Building Permits: Revised ADDITIONAL Valuations (Labor& Materials) Contact E-Mail: dwd CLry c—,a . C' p N1 (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 Building and Residential Codes and other Mechanical: $ ordinances of the Town applicable thereto. X Total: $ Owner/Owner's Representative Signature(Required) Date Received: D W For Office Use Only: JUL J � �� Fee Paid: Received From: Cash Check# TO CC: Visa/MC Last 4 CC# exp. date: W V V'N V OF V V AIL Authorization #