HomeMy WebLinkAboutB13-0514 CR1 transmittal Department of Community Development
75 South Frontage Road
TOWN OF VAIL $ vai�, 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.
Application/Permit#(s)information applies
to: Attention: ( ) Re sions
n � ` � � /�, S� 1 l � -7 ( esponse to Correction Letter
I� �J v� L attached copy of correction letter
��� ` � `a � �� ( ) Otherred Submittal
Project Street Address: 1J
�� ���Nh�� F-tiNN l(,(L � � -
(Number) (Street) (Suite#)
Building/Complex Name: �Wy����N� l�`J��� " Description of Transmittal/List of Changes, Items Attached:
� �— 1� � �
Applicant_Information '
(architect, contractor, owner/owner's rep)
�
Contact Name: �T�'►�t`-� ��15�'J�'�
Address
City State: Zip: '
ContaCt Name: (use additional sheet if necessary)
Contact Phone: -` �U �� `� v�G� Building Permits: .
\' � Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: �����-S 1�'�r������-��� (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 ,p�umbing: $
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: $
ordinances of the Town applicable thereto.
X� `/' T:�.G�,�.- e-�'``�— Total: $
Own,�/Owner's Re;pr�sentative Signature(Required)
.
�� ` Date Received:
LS � L� � V �
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For Office Use Only: �11�Ap 1 � 20,(�
Fee Paid: ��
Received From:
Cash Check# TOWN OF VAIL
CC: Visa/MC Last 4 CC# exp.date:
Authorization #