HomeMy WebLinkAboutB13-0481 REV1 CR1 TRANSMITTAL 0 75 Department of Community Development
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: ( ions
C>Lkg n n � � �✓� ( Response to Correction Letter 6v-41:u
_attached copy of correction letter
Deferred Submittal
Other
Project Street Address:
&— w C�TWVJEN
(Number) (Street) (Suite#)
Building/Complex Name: GA_5�15_L AOAOO Zl Description of Transmittal/List of Changes, Items Attached:
Rkv1 S
Applicant Information
i
(architect, contractor, owcneer/.owner's rep)
Contact Name: '�- `�`�50V
Address: QW
3
City NJ w1 State: LO zip: S 1 bu
Contact Name: 1� SC ✓1 (use additional sheet if necessary)
Contact Phone: (j_70 3&0 Lct g S Building Permits:
Revised ADDITIONAL Valuations Labor& Materials
Contact E-Mail:_ S AtKI�So►'1 00 ®L.-1 06 I Lov^'I ( )
(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
Ord' nd state laws, and to build this structure according Electri $
to he town's on' a subdivision codes, design review ap-
proved In ati nal Bu ding and Residential Codes and other Mechanical: $
ordin es of the wn applicable thereto.
X 4 A Total: $
Owner/Owner's Representat e Signature (Required)
Date Received:
For Office Use Only:
Fee Paid: NOV 2 2 2013
Received From:
Cash _ Check#
CC: Visa/MC Last 4 CC# exp. date: TOWN A t�N O f-t- VAI 1
L
Authorization #