HomeMy WebLinkAboutB13-0050 REV2 Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL Vail, CO 81657
Tel: 970.479.2128
www.valigov.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: tesponse evisions
G to Correction Letter
9- v , [-]_attached copy of correction letter
C)Deferred Submittal
Other
Project Street Address:
L•� L. "SY['_ d 14 710'
(Number) (Street) ■ ,,(Suite#)
Building/Complex Name: U w wxAa Description of Transmittal/List of Changes, Items Attached:
Applicant Information -
Yl
(architect,contractor,ownerlowner's rep) '
Contact Name.,
Address:
cityj. State: Zip:
Contact Name: M16 (use addilionat sheet if necessary)
Contact Phone: , Building Permits:
,�-� ,�,�(�� � Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: �1�_tiA 1's'�1� � •�trNY) (DO NOT include original valuation) !1
I hereby acknowledge that I have read this application,filled out Building: $ pIZ51 0 a 0
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Piumbing: $. (]fit]
comply with the information and plot plan,to comply with all Town qq
ordinances and state laws,and to build this structure according Electrical: $ I U
to the town's zoning and subdivision codes, design review ap-
proved—International Building and Residential Codes and other Mechanical: $
ordi antes of he Town applicable thereto.
Total: $0
X
Owner/0 er"s 4esentative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC last 4 CC exp.date:
Authorization #