HomeMy WebLinkAboutB14-0333 REV2 CR1 transmittal �� Department of Community Development
75 South Frontage Road
rQw� �� ���� � � Vail, CO 81657
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:
_, �3 � ,,, ( � Q�Revisions
�. �.,, �--�7v �,�i- C,�1 p Response to Correction Letter
fZattached copy of correction letter
P�1 l�`.G�� Q Deferred Submittal
((�Other
Pro'ect Street Address:
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(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Applicant Information -���y�'� ��i
Z� � '�
(architect,contractor,owner/owner's rep) ��
Contact Name: � .�t-c pT-C
Address:_�� ��
City ��z.,( � State�_�Z�.
Contact Name: l�lb
(use additional sheet if necessary)
Contact Phone: �O` �j� 4� �"j� .
Building Permits:
Contact E-Mail:_t.���(��('p�('�� ' � Revised ADDITIONAL Valuations(Labor&Materials)
�►'1 rfa�. (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 P�umbing: $ l ���(�
comply with the information and plot plan, to comply with all Town
ordinances and tate laws, and to build this structure according Electrical: $_� „Z�CJ
to the town's z ing and �livision co design review ap- �
proved,Inx al B ildi�ig anS����sidenf I Codes and other Mechanical: $
ordinan"ces of ow ppliefi Ib e theret .
.- .,- . .- / Total: $� 5 � 0 �
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Owner/Owner's e�resentatiye.Sig ture(Required) -- �
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Date Received:
For Office Use Only: � � � � � �
Fee Paid: D
Received From: � � r���� .
Cash Check# i�` � �
p�.
CC: Visa/MC Last 4 CC# exp.date:
Authorization# � , Y p,�
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