HomeMy WebLinkAboutB13-0133 REV3 TRANSMITTAL.pdf 0 Department of Community Development
75 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 missuance of the permit.
Application/Permit ilm)information applies
to: Attention: evisions
Response to Correction Letter
JJ J Ul1A )?attached copy of correction letter
Q Deferred Submittal
C�Other
Project Street Address:
I coft K 11
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Applicant Information ` �1 am
(architect.contractor.ownedownneerr''s rep) "ba �� top
Contact Name(Mills PWIN JI rL
Address:: n,,�h Box LyHtp
City C4UltY &% J State: l'Q Zip:�lU2
3
Contact Name: 6twalnl 1. L (use additional sheet if necessary)
Contact Phone: . 7'—UW—153 r
3 Building Penits:
R
Contact E-Mail: tj5 GrA! Lit IVIC.Of Revised ADDITIONAL Valuations(Labor B Materials)
P "F (DO NOT include original valuation)
I hereby adenowledge 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: $
omin ces oft e T n applicable Mareto.
Total: $ 1 5 6m
Own d ner's Representative Signature(Required)
Date Received:
Fsromrrn,r Osb'
Fee Paid:
aecelveil kwn:
Cash Cheri#
CC: V10/14C tat 4 CC# exp.dam:
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