HomeMy WebLinkAboutB14-0010 REV3 transmittal �-�'�f� Department of Community Development
� . _.-----.. � 75 South Frontage Road
TOWN OF VAIL = �- - '�"""'� 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.
ApplicationlPermit#(s}information applies
to: Attention: ( ) Revisions
;� � � ( ) Response to Correction Letter
�--�� � � �G< <' • �-� ' attached copy of correction letter
\ �-, ( )Deferred Submittal
,�C`�'�l 1 ?� -C>�'G ,5 �I'�'j/,� -(G`� S�l • (,a.pther Sw�L 1� S,�Si'..
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Project Street Address:
v -t'� -
(Number) (Street) (Suite#)
Building/Complex Name: /�-�G��� � . Description of Transmittal/List of Changes, Items Attached:
_ _ ' 1- /C-c,'7� l-,/�/C�i;�
Applicant Information ' / _
�in�ti-( I �.�vtn �,�tirr��h � ,^
(architect,contractor,ownerlowner's rep) = ,
�
Contact Name: �! ��SJ� �-%���-�'��_ ��-r>�� !��:.� ✓1c�;✓I� ' t
/�✓�i f/6EC(iTJ�M L� ���.�� ��� V �
Address: - —
City State: Zip: �
�f�-i�
Contact Name: " ' (use additional sheet if necessary)
rJ `-. = p c^� //' _
Contact Phone: _'7�U -- ( � 1 '7" _.,. . ,. , . . ... ..,. _ . ,, . .
Building Permits:
� /1„�rJ �S�^������� N� Revised ADDITIONAL Valuations (Labor 8�Materials)
Contact E-MaiL ���'-'� � ;(DO NOT include original valuation)
{ hereby acknowledge that I have read fhis application,filled out Building: $
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. f agree to ;Plumbing: $
comply with the information and plot plan,to comply with all Town i -
ordinances and state laws, and to build this structure according �Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved, Internationa4 Buitding and Residential Codes and other Mechanical: $
ordinances o e Town licable thereto.
X Total: $ -� '
OwneNOwner's tative i re(Required)
Date Received•
� � � � V �
D
For O(fice Use Only: �+v� � `�' 2014
Fee Paid:
Received From: To�A�� �� isdl�1
Cash Check# i dd vri L
CC: Visa/MC Last 4 CC# exp. date:
Authorization #