HomeMy WebLinkAboutB13-0481 REV1 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: Attention: Revisions
d 8 �U J ( ) Response to Correction Letter
u l /11/h-C,77 tJ _attached copy of correction letter
^^ ( ) Deferred ubmittal / _
S 1 3 —0(0 D Other P14i?S 1r l�-
Project Street Address:
ed Wes%/>7A)e/11 44 4d-
(Number) (Street) /i / (Suite#)
L-
Building/Complex Name: C < � s'V,1,0dZY Description of Transmittal/List of Changes, Items Attached:
Avg i cL L < \t'o, V\,_Pwi
Applicant Information
(architect,contractor,owner/owner's rep)
I
Contact Name: Pew s a w)X7w n
Address: 60-0 2& !/
City 0/1 State: i zip: 9-1626
Contact Name: Jl _L,&S (use additional sheet if necessary)
Contact Phone: Building Permits:
Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: `J I�fYG rJ L( u� - (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: $ o`�'�ooy: O U
ordinances of the own applicable thereto. or/
X Total: $ co C
Owner/Owner's Represe ative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid: NOV 13 2013
Received From:
Cash Check# C& 11930
CC: Visa/MC Last 4 CC# exp.date: TOWN OF VAI L
Authorization #