HomeMy WebLinkAboutB13-0428 thru B13-0433 REV1 Transmittal � Department of Community Development
75 South Frontage Road
TOWN OF VA1�. � vai�, co $�ss7
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: Revisions
) Response to Correction Letter
� j� - b� �Z� '— �� attached copy of correction letter
t�-� � �� — ���� ( ) Otherred Submittal
Project Street Address:
L Z�0 �.1 �Q.���-�.1� �i�-.tJ
(Number) (Street) (Suite#)
Building/Complex Name: TI►+�t �� Q.l b1�,r t� Description of Transmittal/List of Changes, Items Attached:
Applicant,lnformation . � ^ ��W t�G. S �L"d � T��t c-,n-L
Q�-i1a ��r10 ���(._ .
(architect, contractor,owner/owner's rep)
Contact Name: �-L�yJ �� K'Tl�-R,c c�� �IICc! i7ur.� :
Address: l ct�� �rL� d r�_C�-•��fL
City 5r7LAw�Ba�-i S�/L.ti�State: C�D. Zip: $t�� Q��
Contact Name: �� W-i c1►-1 [�L (_L (use additional sheet if necessary)
Contact Phone: 9 �7 0 . �y(�.- �?04fl Building Permits:
Revised ADDITIONAL Valuations (Labor 8�Materials)
Contact E-Mail: �ti.•�� (� S� � �, ��< ( 4 C�++� (DO NOT include original valuation)
I hereby acknowledge 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: $
ordinance` s�of the n applicable thereto.
X `-_J� Total: $
Owner/Owner's Representative Signature(Required)
Date Received:
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For Office Use Only: OC`'�' 1 1 20�3
Fee Paid:
Received From:
Cash Check# ""�°��� �� '��tL
CC: Visa/MC Last 4 CC# exp.date:
Authorization#