HomeMy WebLinkAboutB13-0271 REV2 transmittal _
t�� Department of Community Development
,, 75 South Frontage Road
TO WN 0 F VAIl. � - 1 van, 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: ( evisions
,/f � ( ) Response to Correction Letter
C� ��� � � � /u attached copy of correction letter
( ) Deferred Submittal
( )Other
Project Street Address: �
'�,2 CJ '�✓-�Ll� Yy!DYti7"✓�i w t�Go�/> � " �
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
r� ,�
Applicant,lnformation �`�� � ���'/� �-���`��`'
%�,2 f1�P�„ t f�,�,v�� ti+--- ��,D —
(architect, contractor, owner/owner's rep) -
Contact Name:
v��r,C2�ll�cl� ��:c� ���7�.,��-�
Address: �G. � �� ��I �
City ���'( L- State: �_�Zip:� '
Contact Name: �.9"U`.l� f�/J(iv!Gl� (use additional sheet if necessary)
Contact Phone: �� O � Building Permits:
Revised ADDITIONAL Valuations (Labor 8�Materials)
Contact E-Mail: � /�'�/rv��/C �1�j�-�/oo• C a� (DO NOT include original valuation)
� ao
I hereby acknowledge that I have read this application,filled out Building: $ ��D ,�,a�y�- :
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: $
ordinance f the T n applicable thereto.
X � Total: $
Owner/O ner's Represe tative Signature(Required)
Date Received:
� � � � � � �
For Office Use Only: � I
Fee Paid: ��� � ��13
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: TOWIV OF V/4I L
Authorization #