HomeMy WebLinkAboutB14-0251 CR1 Department of Community Development
-� 75 South Frontage Road
TOWN OF 1/AIL` va�i, co s�ss�
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.
Application/Permit#�s)information applies
to: Attention: Revi ' ns
�j �i � —� '1T—� �'%�._L_ � sponse to Correction Letter
"� ���� �attached copy of correction letter
�i��� � \�� Q Deferred Submittal
((�Other
Project Street Address•
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(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
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Applicant Information — �(
(architect,contractor,ownerlowner's rep)
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Contact Name: , � , (
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Address:
City State: Zip:
Contact Name: (use additional sheet if necessary)
Contact Phone: ��V —7 � I Building Permits:
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-
pr ed, International Building and Residential Codes and other Mechanical: $
or nces of the n applicable thereto.
X Total: $�
Owner/Owner's Representative Signature(Required)
.
Date Received:
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For Office Use Only:
Fee Paid:
Received From: ;��� � �j �a,�¢
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization# TQWN OF VAIL
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Entries for Item:5100 - BUILDING DEPARTMENT 13:15 08/26/2014
Action Comments B Date
� CR please provide U value JRM 07/29/2014
} window schedule(egress,tempered etc)
� building occupancy type
.� buildin construction t e.
Total Rows: 1
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