HomeMy WebLinkAboutB13-0451 CR1 TRANSMITTAL 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: /J/� Attention: { e�i�!! rT,
6/ —5 `O tI �/ l.,(/`. i ct L ( attached copy of correction ect onr letter
Deferred Submittal
Other
Project Street Address: /// O
(Number) (Street) (Suite#)—
Building/Complex Name: C a Description of Transmittal/List of Changes, Items Attached:
Applicant_Information
(architect, contractor,owner/owner's rep) r
1
Contact Name:
Address:
r
City State: Zip:
Contact Name: (use additional sheet if necessary)
Contact Phone: p 3 �� —3 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: $
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: $
ordinances of the Town applicable o
X ..!_�— -- --- Total: �O $
Owner/Owner's Representative Signature(Required) ��
Receiv
D CIF,
For Office Use Only: 2013
Fee Paid: OCT�+ 2
Received From:
Cash Check# TOWN OF VAIL
CC: Visa/MC Last 4 CC# exp.date:
Authorization#