HomeMy WebLinkAboutDRB130295 Transmittal 082313.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 to.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/Pormit#(s)information applies
[on: �r ,Attention: Revisions
D 13-b►3 3 ( 1µ �en Response to Corectiun Letter
�(.1 j1attached copy of correction letter
Defer Submi
le—Aher 'Dint�iep.t,1,� 1)k)rta!
Project Street Address:
14112 Q"hV1;t1 Pour4 _
(Number) (Street) (Suite#)
Building/Complex Name: I Desenpfion of Transmittal/List of Changes,Items Attached
Applicant Information 5wo Im " Du1
(architect,contractor,owLn�er./owner's rep) �" ' . r.W
Contact Namel sn/s.r�t.
Address: P b Zox I,IQ
City r4u�C &/ (S•ttatte:�Zip:0U32
Contact Name:� <m.rry�� gL.X (use additional sheet if necessary)
Contact Phone: � •oL'LNO—I`fD3 Building Permits:
Revised ADDITIONAL Valuations(Labor S Materials)
Contact E-Mail: (CS Lw(' 11 IY1 G• 0 (DO NOT include original valuation)
I hereby acknowledge that I have mad this application,filled out Building: $
in full the information required,completed an accurate plot plan,
and stale 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: $
0 the town's zoning and subdivision codes, design review ap-
proved International Building and Residential Codes and other Mechanical: $
Xrtli ces of eT applicable thereto.
//•a_. Total: $0
Own r/ er's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Rerelved From:
Ush Ched`#
CC V11/14C Iaet 5 CC X axp.date:
Mahonsatton X