HomeMy WebLinkAboutB13-0428 THRU B13-0433 TRANSMITTAL 102313 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 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$110 will be charged upon reissuance of the permit.
Application/Permit#(s)information applies
to: Attention: ( ) Revisions
Response to Correction Letter
_attached copy of correction letter
813 -04(33 ( ) Deferred Submittal
OOther
Proiect eS;5�
(Number) (Street) (Suite#)
Building/Complex Name: 1104 Description of Transmittal/List of Changes, Items Attached:
Applicant,Information
i
1
(architect, cont rac o wnedowner's rep)
r I
Contact Name: '` G$ G/ lit dl�/v�
Address:
City State:_ �zip:
Contact Name: (use additional sheet if necessary)
Contact Phone: Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $ �s
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- eo /Iq ua,r
proved, International ' ing and Residential Codes and other Mechanical: $ — S 1 LAS04
ordinances of n a plicable thereto. 70 X!S
X Total: $ ua►TS
Owner/Owner's Represe tative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid: F/_�C 2 3 2013
Received From: ` ��
Cash Check# TOWN OF \/All
CC: Visa/MC Last 4 CC# exp.date:
Authorization#