HomeMy WebLinkAboutB14-0002 CR1 transmittal .
Department of Community Development
75 South Frontage Road
TQWN OF VAtL � va�i, co s�ss7
Tel: 970.479.2128
www.vailgov.com
' Development Review Coordinato�
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
�1,� " �Y"d�t7 2 attached copy of correction letter
�n �. ' 1 I`��U � O Deferred Submittal
K �'� ( ) Other
Project Street Address:
2�_ �,r,�� �,� ��
(Number) (Street) (Suite#)
�
Building/Complex Name: � G, � D i�.� A escription of Transmittal/List of Changes, Items Attached:
��✓ �/o� �l� ��
Applicant,Information
(architect, contractor, owneNowner's rep)
Contact Name: �0'"]•( ��/r�SZ'
Address 7� �- ��'D/1�-� � �'t/Z'�
City llGc� � State: �!> Zip:-`��f�� '
Contact Name: vl��f^ �►'��Q! (use additional sheet if necessary)
Contact Phone: `1 1�— �/�--,��� Building Permits:
. Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: , /�► o� r���M (DO NOT include original valuation)
i�"
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 j Plumbing: $
comply with the info ation and plot plan,to comply with all Town ',
ordinances and st e laws, and to build this structure according Electrical: $
to the town's zor�ng and subdivision codes, design review ap-
proved, InterR�tional Building and Residential Codes and other Mechanical: $
ordinances of the Town applicable thereto.
X , Total: $
Owner/Ov�,er's resen � e Signature(Required)
/,
�� �� Date Received:
/
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization #