HomeMy WebLinkAboutB13-0419 CR1 transmittal Department of Community Development
75 South Frontage Road
iOWN OF VAIL va�i, coaiss�
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting adtlitional infarmation for planning applications or builtling permits.
This form is also used for requesting a revision ta builtling permits. A iwo hour minimum builtling review
fee of 5110 will be charged upon reissuance ol the permit.
ApplicationlPermit p(s)information applies
1O� Attention: oRevisions
reference et3- Q Response�o Correciron Letter
oa�3 oa��tl Rnoaes _ Qattached copy of rorrection letter
Q Deterred Submittal
_ �Other �'
Prq¢ct Stree[Adtlress:
68 SoWM1FrontageRoa� 106
(Number) (StreeQ (Suite#)
Building/Complex Name: v�uage inn aiaza �escriphon of TransmittaV List ot Changes, Items Attached:
We are mM1mltliqg a loaa celculation for iM1e praviously submifled IlgM1tly ple
Applicant Intormation
(architecq contractor,owner/owneYS rep)
Contact Name�. rom e�rney.ewe oeve auaders or iec sreers owner
AtltllC55: �44 Wall SL G6
Ciry va'� Stale'. co ZiP: s�ss'r —
Contact Name'. Tom a�mey
(use atlmtlonal sneet ifnecassery7
Contacl Phone: an26o.mas
Building Permi[s:
Gontact 6Mail: biueaevnb�oeers@gmaamm Revised ADDITIONAL Valuations(Labor 8 Materials)
(�O NOT include original valaation)
I hereby acknowledge Ihat I have read�his applica�ion,filletl out guilding: $
in full lhe in(ormation requiretl,completed an accurate pbt plan,
antl stale tha�all�he informa�ion as requiretl is correct I agree to Plumbing $
comply wi�h�he information antl plot plan,to wmply with all Tawn
ordinances and sta[e laws antl[o bulitl Ihis simcture according ElecUical: $
b the town's zoning ana drvis n code�5.tl25ign review ap-
proved,Int matiopafBui ng a Rey�ntial Codes ana other Mechanical'. $
ordin nc'e�Io�f 7 Towna' li Slfleret
�( � /�/ / � Total�. $0
Owner/ wne presenta[ive ure(Requiretl)
Date Receivetl:
Por U�Yce Gee Onb�:
Fee Gaid:
Received Fmm,
Cash Check p
CC: Visa/MC Last 9 CC# exp.tlate:
Authorization n