HomeMy WebLinkAboutB13-0508 CR3 � — � 7y - � ' � � . Department of Community Development
�� 75 South Frontage Road
TOWN OF VAIL ' va�i, co a� ss�
Tei: 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
^ I � � � � ( ) Response to Correction Letter
��� attached copy of correction letter
( ) Deferred Submittal
( ) Ottier
_ _ _ _ _.. .
Project Street Address: 1
1 �'� �irP�-� P�.. ��i,5 T
(Number) (Street) (Suite #)
Building/Complex Name: 1 Description of Transmittal/ List of Changes, Items Attached:
_ _ . . _ _ _ _ . . _ _ _ .. _. _ ! � �l'l ��,.�.('Y`t:f f 1� r- �
. _ . . . ..._ . , Q� ' �1�.�''l.
Applicant_ Information � �'
(architect, contractor, owner/owner's rep) � C � � �� � '��� ���L� r�
i
SI,�lC. . LL P_ �
Contact Name: �
Address:
P a _ �x ��� �- � ��s 3 G � �k ti l� ��r '
City �c/Q'✓t State: � Zip: �/G � ?
Contact Name: C !'���C)/� !�. (use additional sheet 'rf necessary) �
Contad Phone: 97� � 3 / �' lJ 9 °�7 _,. .., ._ ,... . ...____ .. _._ .. _ � . .. ._ . . _ ._.v,._.
Building Permits .'ti �
I� � Revised ADDITIONAL Valuations (Labor & Materials)
Contact E-Mail � fc'o� ��qN:S L /G� SlGfl�lf"�f(/�'�i dH .Cdrt� (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 aIl the information as required is correct. I agree to ! Plumbing: $
` comply with the information and plot plan, to comply with all Town 1
f ordinances and state laws, and to build this structure according j Eledrical: $
to the town's zoning and subdivision codes, design review ap-
proved, Intemational Building and Residential Codes and other Mechanical: $
Xrdinancps of ye�Town applicable thereto.
/.1 .n/ / / / Total: $
oC% (�i1/K
Owne�wner's Representative Signature (Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Ysa / MC Last 4 CC # � exp. date:
�Authorization #