HomeMy WebLinkAboutB14-0070 CR1 transmittal Department of Community Development
75 South Frontage Road
TQWN �F VAIl. � vai�, co s�ss�
,, Tel: 970.479.2128
� www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information far 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: ( ) sions
,� � � `/\, ,�^�--�/'� (� � ( esponse to Correction Letter
� V l� ( V ��Y`�-'._� . attached copy of correction letter
�M-t- i �� ( ) Deferred Submittal
�'�`J � � � � ( ) Other
Project Street Address:
'� ,� ��o�7`f�F��
(Number) (Street) (Suite#)
� / � () � (�'�
BuildinglComplex Name: `�! y"� l�1\ Description of Transmittal/List of Changes, Items Attached:
_..,-I�l�� ��CS O�1.► ���_
Applicant_Information
(architect, contractor, owner/owner's rep)
Contact Name: '
:Address
City State: Zip: ;
Contact Name: (use additional sheet if necessary)
Contact Phone: Building Permits:
Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail: (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 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 Total: $
Owner/Owner's Representative Signature(Required)
Date Received:
l� � � II \VI �
For Office Use Only: D
Fee Paid: t� 9
Received From: �r� � � �01�
Cash Check#
CC: Visa/MC Last 4 CC# exp. date:
Authorization# TOWN OF VAIL