HomeMy WebLinkAboutB14-0033 CR2 transmittal Department of Community Development
75 South Frontage Road
�Q�j/� Q�` �(��( � Vail, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSM ITTAL 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
� , � ( `� � �� /�,� � �Response to Correction Letter
`�� `''�- n,attached copy of correction letter
��'( �-� ��(f� Q Deferred Submittal
- f�Other
Project Street Address:
1 �-�� (,J�"
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
�-- SQ l c�S ���--�
Applicant Information
(architect, contractor,ownedowner's rep)
Contact Name: �� [� ,���61 �
Address:
City State: Zip:
ContaCt Name: (use additional sheet if necessary)
Contact Phone: ���G � ��_, � 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
or inances and state laws, and to build this structure according Electrical: $
the town's zoning and subdivision codes, design review ap-
proved,Interrlation�i�ilding and Residential Codes and other Mechanical: $
ordin�nEes��of t eTo
Total: $�
L..,___O__n�r/Owngr's Rep�esentative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa(MC Last 4 CC# exp.date:
Authorization#