HomeMy WebLinkAboutB14-0040 REV3 transmittal Department of Community Development
��`; 75 South Frontage Road
���� �� ���� ': Vail, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSM ITTAL FORM
Use this form when submitting additional information for pianning 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 �
P� �}� � h ` D�A O /,1„r�.? �`)s Response to Correction Letter
�I 'T Kd� J. aattached copy of correction letter �
U� � � �' k��1�.. � ��S ��' -G�•�3 �Otherred Submittal ,�
�
----------------------- ------------------------------- --------------------------------- �
Project Street Address: ,
�a� �• � � o �
,
(Number) (Street) (Suite#) �
Building/Complex N me: V� � I � ; Description of Transmittal/List of Changes, Items Attached:
'" � � �� �l P
Applicant Inf mation ' �
=t
(architect,contractor owner/owner's rep) ' �� .
Contact Name: i —, •� -� + Q�' °
� u'r'�4;j� � � �
Address: ��� 1.�>{� O D �q ���Jt��IA�C� o ' �w►�, "'�[o
. �
City� State:��Zip: �l� ao ; �
COntact Name: ;(use addi ional sheet if necessary) j
L ! D� 6 �O ��" i-D� - -°_... ,_._� __=°. �--� _ ° .,.�,.., t
Contact Phone: �Building Permits: 4
'Revised ADDITIONAL Valuations (Labor&Materials) �
Contact E-Mail:�t�°L�"_ � �'�,� I/1.50�/1.�ti'V� �(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, Inter 'onal Bu'Iding and Residential Codes and other Mechanical: $�
ordinances To pli ble thereto.
X �Total: $�
Owner/Owner's Representative Signature (Required) � - --- ------- --- '
�
� Date Received:
For Office Use Only: D � � � � � �
Fee Paid:
Received From: y
Cash Check# :��� � � ��I�
CC: Usa/MC Last 4 CC# exp.date:
Authorization#
TOWN OF VAIL