HomeMy WebLinkAboutB14-0333 REV2 transmittal Department of Community Development
75 South Frontage Road
TOWN OF VAII.� .�� 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.
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_ _
Application/Permit#(s)information applies
to: Attention: _.Q'�tevisions
�I , /,`Q��� �� � , �Response to Correction Letter
`'(� fZattached copy of correction letter
PV� � ''t"`�� �� . �.-�I`-Y'�� �[��a'� �� (Q Otherred Submittal
Project Street Address: r
2� ���� �� .
(Number) (Street) (Suite#)
Building/Complex Name: ' Description of Transmi aU List of Changes, Items Attached:
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Applicant Information
������ 20 � czr�'-�l, � w�i,�� ��
(architect,contractor,owner/owner's rep) I
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Contact Name: �� %�U�� � �S
Add ress: �� ���
City V�.l � State:(��_Zip�_l�
Contact Name: �/ �(�'�6llr�� �t���j2C`� 1 (use additional sheet if necessary)
Contact Phone: � J � �'%O� � Building Permits:
,y Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: ����_���G�CS/rUG �• CC'/YI� (DO NOT include original valuation)
7
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. � 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 R " ential Codes and other Mechanical: $
ordin ces Town a ' ble ereto.
Total: $�
Own /O r v Signature uired)
Date Received:
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For Office Use Only�
Fee Paid: ��'�° � � �0��
Received From:
Cash Check#
CC: Visa/MC Last4 CC# exp,date: TOWN OF VAIL
Authorization#