HomeMy WebLinkAboutB14-0329 CR2 transmittal K� � Department of Community Development
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_ 75 South Frontage Road
�'��'�f� �� �/�(�� � Vail, CO 81657
Tel: 97U.479.2128
www.vaiigov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submifting 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:
I 'L G��� �R ions
_l � esponse to Correction Letter
� �,attached copy of correction letter
�-i �`� j� �Deferred Submittal
��� (�Other
, .. . _. _... ._..__..
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Pro'ect Street Address:
� � t t.,� ����«; ���- -
(Number) (5treet) (Suite#) - ---._._ . .. . . .. .....__ . ._. _. ._._. .. . . . ..
Building/Complex Name: ' Description of Transmittal/List of Changes, Items Attached:
_. . . .,. .. _ .. _. .._ ___... ._.�- - _.._._.. . _
_.. .._ ---T -.._...._ — Cc�?� 5�-(��TS�
Applicant Information .
— ,�'�/1 Se�� �1�9-NS S����1 .
(architect,contractor,owner/owner's rep)
�-C-�� SsU�w '
Contact Name: `�,
Add ress:
City State: Zip:
Contact Name: (use additional sheet if necessary)
Contact Phone: �� �- � `���G�.��� •- -� - .: .__ __
_ __..... _, __.. ,. ., _.. . ,
;Buiiding 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 �
ordinances and stafe 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: $
ordinances of the Town applicable thereto.
X Total: $�
Owner/Owner's Representative Signature(Required) _
.. _. .._._ _.... __.. .. .._....---- - Date Received:
For Qffice Use Only: � `V' � � V �
Fee Paid: D
Received From: 1t u 1
Cash Check# ��r � `� ��!�
CC; Visa/MC Last 4 CC# exp,date:
Authorization#
TOWIV OF VA�IL