HomeMy WebLinkAboutB13-0279 REV1 TRANSMITTAL Department of Community Development
75 South Frontage Road
' Vail, CO 81657
TQWN OF VAIl. � — -rei: 97o.a7s.z�zs
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for pianning applications or building permits.
This form is also used for requesting a revision to buiiding permits. A two hour minimum building review
fe.e of$110 will 5e charged upon reissuance Uf the permit.
ApplicationlPermit#(s) information applies
to: Attention: �Revisions
( ) Response to Correction Letter
��3_ ��� � attached copy of correction letter
( ) Deferred Submittal
����G�i � - ( ) Other
Project Street Address:
'"�p , ��a`�u -i r;�,�C�..
(Number) (Street) (Suite#)
BuildinglComplex Name: wf_���', (f�����L� ` Description of Transmittal/List of Changes, Items Attached:
_ ; `����`,��/ �I��-���c4r ����� �;, Ic�
Applicant,Information
(architect, contractor,owner/owner's rep) '.
ContactName:���-���2�'��s �� 17e���p6s/ T�U���-�h �
Address:
i
City G��L State:�_Zip:��_ '
Contact Name: ��� �'"`�''Z's'�1 (use additional sheet if necessary)
�I . , . . , _ _ ,.
Contact Phone: ��v ��( � ���J Building Permits:
�f Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: I�-!�t �, �nGed�o�✓,m.cc 1��N�,i,E� �r s�� (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 i p�umbing: $
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, I ational Bui ing and Residential Codes and other Mechanical: � '
ordin ces of he To pplicabl
X Total: �
Owner r' epresentative Signature(Required)
Date Received:
' � � � `1 V �
�� --
For Office Use Only: ! �
�'I f AUG 16 2013
Fee Paid: ;
Received From: �L���
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: ''���"(��►"(� �F i/�IL
' Authorization #