HomeMy WebLinkAboutB14-0075 CR1 transmittal � Department of Community Development
75 South Frontage Road
T�ilV�l �F lf�lt� � va�i, CO 81657
� Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications�r 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 ofthe permit.
_ ....._ __.. .------------- -- ----__�___. _........_ . _.___. . ..._. __ _... .---.
_ _ . ... .. .... ...... .
Application/Permit#(s)information applies ,
to: Attention: �Revisions
�� �` `�� � � /1 /�� �Response to Correction Letter
`d (�L �attached copy of correction letter
�_. Defe ed 5ubmittal �
j��.�� 3 _���g- - �`
Project Street Address:
� ��-3� r.��c.r,�.,�- �
(Number) (Street) (Suite#j
Building/Complex Name: �J"���Vd f�' • Qescription of TransmittaU List of Changes, Items Attached: .
_ _. .. _ _-__,...�_,_..._____._.,..�,__,._... �N.S'J��Gy� ��(G!C�4'ZJ� .
Applicant information
(architect,contractor,owner/owner's rep) ��� :
Contact Name: `^G✓�%,��lw�'1" ��f�'L✓c-'j_Gb�'`J C "�
Address: (�� 0�� ��e�tL COcr'L�
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City L/[Z GJMf State: C� Zip: �U� �-s
Contact Name: ��- �fC�-- `(use additional sheet if necessary)
9'za �3� C(( . _ , :.: _ . - _ _ ._
..
Contact Phone: :Building Permits:
Contact E-Mail: l�I�LK `f��G •L�L ����L`W�vised ADDiT10NAL Valuations(Labor&Materials) �
;(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,fo 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: $
ordi nces of the Town plicabie thereto. ,
�( ;Total: $�
OwnedOwner's Representative Signature(Requ� ) - - -
.
.... . . ._ .: Date Received:
For�ffice Use Only: D � V� � �
Fee Paid:
Received From;
Cash Check# ��� � 2 ��1�.
CC: �sa/MC Last 4 CC# exp.date:
Authorization# TOVI/N OF VAIL