HomeMy WebLinkAboutB14-0219 CR1 transmittal ,�..�..----�
-�'` Department of Community Devetopment
,�'� 75 South Frontage Road
TQWN DF UAfL � �; ...� _ �� va�i, co s�ss7
� Tel: 970.479.2128
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;' www.vailgov.com
,_._ Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning appiications or building permits.
This form is also used for requesting a revision to buiiding permits. A two hour minimum building review
fee of$110 will be chatged upon reissuance of the permit.
_. _ _ _ . .
Application(Permit#{s)information applies
ta� Attention: ( ) Revisions
�� G� s onse to Correction Letter
�-_��� t' ��� (�..�-� P
� �I� _ attached copy of correction letter
��,� I � � (/ � " ( ) Deferred Submittal
T ( ) Other
_. _ . . . . . .
Project Street Address:
0��5 ?`ti S►'�G ��` x�- I
(Number) (Street) (Suite#j
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BuildinglComplex Name: f�(��_�;�`�� i Description of Transmittal/List of Changes, Items Attached:
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... .... _... . . . '�- � n.
_ _� �� ��C�S
Applicant.lnformation
(architect, contractor, ownerlowner's rep)
,�/� �/�,� , � �
Contact Name: I� ,�-� � S � �'v'�'rl"��1(,���- �
Address �
City State: Zip:
ContaCt Name: (use additional sheet if necessary)
k'��� �7� � � . _.,. _ . . , . _:_,. _ _, . _ _ .. . _..._ , .., ..
Contact Phone: Building Permits:
����'��j�l�;�j�,s���,��5� �;� 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:
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p � c� � � M �
For Office Use Only:
Fee Paid: J J� n 3 �f1�/,
Received From: v t� `t
Cash Check#
CC: Visa/MC Last 4 CC# exp. date: TOWN OF VAIL
Authorization#