HomeMy WebLinkAboutB14-0098 REV1 transmittal >�r�r�,.
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Department of Community Development
75 South Frontage Road
TOWN OF VAIL" va�i,co a�ss�
Tel:970.479.212$
www.vailgov.com
Development Review Coordinator
. TRANSMITTAL FORM
Use this form when submitting additional iniormation for planning apptications or building permits.
� This form is also used for requesting a revision to building permits. A two hour minimum building review
i fee of$110 will be charged upon reissuance of the permit.
ApplicationlPermit#(s)informaHon applies
to: Attention: �ftevisions
���t'��"8 Response to Correction Letter
�attached copy of correction letter
��� �� ����� � Q Deferced Submittai
�j Other
Project Street Address:
Z_�__6 _ �/l�S�s� l�� L-.�
(Number� (Street) (5uite#)
I Building/Complex Name: Desc�ption of Transmittai/List of Changes,Items Attached:
� Appifcantlnfo►mation �At�� ��$^� ��yT ���
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` (architect,contractor,owner/owner's rep) /" �, T Gf-��/�. �O 071t�',/L
I
� Cv3i nN.. CI�.A�-�.'�S �"*�' ��-.Jp„-"�'�q") � �,�/b+��
Contact Name: �-� =/nc..��';--t� —p-�.—
n r""'
Address:_YO �X ��('2... —, '���'�c t _
c�cy ���,��.�.n_ s sc�ce: C u z;p: 24/b 3z
Contact Name: (��✓, r7i/+s Z'�'� (use additional sheet ff necessary)
Contact Phone: �70 — 3�b ^ I �6 � Building Permits: ,�,,
Contact E-Mail:�"t��@ �vi w�..�,~�p�-'`�.�.�js, ro�"� Revised ADDITIONAL Valuations(Labor$Materials)
(DO NOT include originai vpluation)
I hereby acknowledge that I have read this application,fiiled out Building: $ l b , �pp�
in full the information required,completed an accurate plot plan, O
' and state that ali the information as required is cotrect. I agree to Plumbing: $
� compty with the information and plot pian,to comply with ail Town f,
ordinances and state laws,and to build this structure according E�����: $ 2 O ap
� to the town's zoning and subdivision codes,design review ap-
; proved,Intemational Building and Residential Codes and other Mechanical: $_ �p�0 O�
or ' s of the To applicable thereto.
�( Tota�: g� p p�'
Owner Owne s Rep entative Sign re(Required)
', Date Received:
For Offlce Use Only:
Fee Paid:
Received
Received From:
Cash Chedc# TQWN OF VAIL � By Carotyn Godfrey at 10:02 am,Jun 25,2014
CC: Vsa/MC Wst 4 CC# e�.date:
Aumorizanon#
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