HomeMy WebLinkAboutOTC13-0030 transmittal � DeparhneM oF Communiry Development
75 South Frontage Road
iOWN OF VAIL van, C0 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use�his(mn rAien submilting additional irrtn�retio�for planfmg app5catims a buitlin9 permils.
This i«m is also used for reques6ng a revision tu build'mg pcymits. A two hour mirmmum 6uBding review
Fee of$710 will 6e dwged upon reissuarice d�he perrrii�.
Applieation/Vermit#(s)intormation applies
to: Attention: Revisions
Response to Correction Letter
� �-�x7�in� attacheC copy of correction letter
Q Defened Submittal
�OMer
Projeet Street Addrcu:
1�� ��oin_ ��oo�r �1
(NUmber) (Street) (� (� (Suilap)
Bullding/COmplex Name: 1�v.�C�2 \' 1 0� ���d7A pe�ph�a{TransmittaV List of Changes,Items Attached:
-l� "��F "'� '_�-�:�c�v �'l'l Crr
ApPlicanibrtormation nr��� ,�� ` �
(archkect,contractor,awr�erlowner's rep) -�\ \�� 5��- •m���a _
c��ac Name_j�x���� � I�r r� � Soc�4k ���n�n��,r Un ���-
nddres/s: ?5D�X) l'(�a�ShvVA c°�„
Gity_I �CVAQA_(� SWte:�_2ip: �X�7_�
CoMadName: �i�R `, ilC\f��l\Q�IY� (useatltlitionalsheetifnecessary)
Con�ac[Phone: ��I h 1 ' (y.0�0 ,`� BuilNng Pmnits:
GonfadEMail:y���C.�`}ll(f\OfS`(�h(f�C �Y� RevlsedADDITIONALYaIUaUOns(LabarBMa[erials)
_ (00 NOT incluAe original valuation)
I hereby acknowledge that I have read ihis application,filled out BuildinB: y_
in full Ne infamalion required,completed an accurate pIM plan,
anE state Mat all ihe irrtormation as required is correct. I agree m plumbing: $
comply vrith the infattnation anA plot plaq to cwnply with a0 Town
ordinances and sfate laws, and to build[his strucW2 according EleGriqC §
lo Ne town's zoning anA subdivision wGes,desgn review ap
proved Intemational8uilding antl Revdential Cotles anA oNer Mecharrical: $ �
mdin f the ap/pIirable ihereta. � - --
X �-/�... /' ^ �!{� 7otal: §0
.0
Ovm�f/ ets Represe a�ive SignaWre(Required)
Date Receiv¢d:
ta.orc�.�uxc�ry-
Fee Paid:
ReceiveA Frun:
U5h Chetic#
CC: Ysa/MC laU 4 CC# exp.dafe:
AufhmiizUOn#