HomeMy WebLinkAboutD14-0002 REV1 transmittal Department of Community Development
75 South Frontage Road
TDWN OF UAIl. � vai�, 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: (�evisions
� � � �v� �� '�'"`�' - �� � V �(A��1 v� ( ) att ched copy�of cto�ectionr letter
�� u�"'"�U � �� � � —Q'�C� � ( ) Otherred Submittal
Project Street Address:
'7C � -,��I �-.������1���1 C��.
(Number) (Street) (Suite#)
Building/Complex Name: ,�`"1V�,UlSZX. ��;1�� l,'�-�.R, Description of Transmittal/List of Changes, Items Attached:
Applicant Information �Is�GGu�V����� -b I.C�C.���� ;i' �ic.s�' C�, ��
�� ���W-sct/ ���Vv��-�1� �ti"�' (�(�t LC��1 .
(architect, contractor, owner/owner's rep)
(, � I� C�cc,c� r,`�,� UVtit�h le�i-e� �.i c� ln���J
Contact Name. `�C L�TT I�G V1 U�
Address: C�j�`� Z ��l(.F' �I�✓�� �"(�! � �� ��� -� ��e�G �-�11/ r('cx>t�n .�.�
�— � �c���wP c�- C 2> t-e v.�:=� �ct��l�
City ��-1 ��N�� State: �U Zip: ������ �� �
Contact Name: � �'�' f i f I—�eN����' "`f � G�UV�I �2C;'Vl �,� ��-�� V�P cl"�(:�c��
(use additional sheet if necessary)
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Contact Phone: �� �� � � ��S�F' Building Permits:
Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: Cd���1�� C Q`�C��'_��C�Vt� � ���'''� �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 ptan, I
and state that all the information as required is correct. I agree to , Plumbing: $
comply with the information and plot plan,to mply with all Town ��qr
ordinances and state laws, and to build this ructure according ' Electrical: $ � �L' + 6�
to the town's zoning n subdivision c e�;�design review ap- ----� '
proved, Interna' B ilding and R id ial Codes and other Mechanical: $
ordinances of e' o applicable er t . � ` �-- ,r.�'�
X "J�����j( /:�f�.� Total: $ Jf �(�.� � ��
Owner/Owner Representative Signature(Required)
' � � ����-��� C
Date Received:
C C� � � MI�
D
For Office Use Only: i��� �' � L"��
Fee Paid:
Received From:
Cash Check# TOW N O F VAI L
CC: Visa/MC Last 4 CC# exp.date:
Authorization #