HomeMy WebLinkAboutB13-0248 Spa Revision Transmittal Department of Community Development
75 South Frontage Road
TOWN OF UAIL �` va�i, co s�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.
_ _ _
ApplicationlPermit#(s)information applies
to: Attention: �Revisions
N,�- ( )Response to Correction Letter
I� 1 � --� 0 2 y�, ��-14�� , attached copy of correction letter
( ) Deferred Submittal
( )Other
Project Street Addr ss:
l�t�.l�►,���� � -
(Number) (Street) (Suite#) �
r"' �
BuildinglComplex Name: � Description of Transmittal/List of Changes, Items Attached:
_ . . • Q .
Applicant,lnformation '� ���1 - 1—In't� ��
(architect,contractor,owner/ wner's rep) j— t� S�e�/lA `� ��w �n 0 � '
Contact Name:r��
I�� €.�' V1r�X r e� e}o c1�� 0 r��
Address:��e-,Lc �,L��"� ;—""� �-���
,
City�j State:�- Zip:����_ ;
ContaCt Name: ' (use additional sheet'rf necessary)
< . . _,. .__ . ,._ . ... , .� ..
Contact Phone: Building Permits:
r �f ���� �� Revised ADDITIONAL Valuations (Labor 8�Materials)
Contact E-Mail: a n 5 ��c �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 stnicture according =Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $
ordinances of o applicable thereto. �
�( Total: $
Owner/Owner's Representative Signature(Required)
Date Received: ��//�-��3
For Office Use Only:
� � � � � � �
Fee Paid: nr^ � ! �0��
Received From:
lJClr
Cash Check#
CC: Ysa/MC Last 4 CC# exp.date: iA'
Authorization # TOYy� �� VA��.