HomeMy WebLinkAboutB14-0054 CR1 Department of Community Development
75 5outh Frontage Road
TQWN flF VAIL � \\�. � va�i, CO 81657
� Tel: 970.479.2128
www.vaiigov.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: ( ) Revisions
�� ' � " a�J c� � , � (�esponse to Correction Letter
- I S' -���7 attached copy of correction letter
_(�� � 3 —C;�.�j�j ( ) Deferred Submittal
P"9� 0 ( )Other
_ _
_ .
Project Street Address:
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r L 41��.���� �� �;� � �-.,��,„� ��;
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
• ,...
Applicant,lnformation �"�` �,"'� � `-�"` `L�i°i� `"l`��`�`'`��
(architect, contractor,ownerlowner's rep)
Contact Name: �-�C�r�a`cr� ��7�� F�•.
Address: ��-� � �k � �'�( � \
�
City �U+�.,1 _State:CU Zip: ��fo�--
Contact Name: �—?�U,� ���' � �,^�
(use additional sheet if necessary)
: _ , . . . . _.
Contact Phone: �1 � ' `'� 1 3�`� Building Permits
Revised ADDITIONAL Valuations (Labor&Materials)
Contact E-MaiL (DO NOT include original valuation)
1 hereby acknowledge that I have read this application,filled out Building: $ Q
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 buifd this structure according ?Electrical: $
' to the town's zoning and subdivision codes, design review ap-
proved, In mational Buildi and Residential Codes and other Mechanical: $
ordina of thq'7own�able thereto.
x (: •.� '�.�.� Total: $
Owner/Owner's epresentative i nalu e(Required)
Date Received:
For Office Use Only: D
L� �� ,�� � 1V/ I.�
Fee Paid:
Received From: uA� �� 201/.
�•IN I't
Cash Check#
CC: Visa J MC Last 4 CC# exp.date:
Authorization # .,._ T��N QF \�q�L
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