HomeMy WebLinkAboutB14-0098 CR3 transmittal I
iDepartment of Community Development
75 South FronWge Road
TOiWN OF VAIL° vai�, CO 81657
I Tel: 970.479.2128
� www.vaflgov.com
I Development Review Coordinator
'�, �TRANSMITTAL FORM
j Use this form when submitting addilional information for lannin a i
, . p g ppl cations or building permRs.
�� This form is aiso used for reqlpesting a revision to building pertnits. A iwo hour minimum building 2view
fee of$110 will be charged u�on reissuance of the pertnit �
',Appiication/Permit#(s)information applie�...._ ........ . ...._. . ... . .... . .... .. . . .._... . ...._.. . .. . . . ....,,._
'��.toa;r� Atfention: evisions �
.. I � �`q^ rJ,p C18 - �Response to Correction Letter '��.
'�N I �attached copy of correction letter
� Q Deferred Submittal ,'
I (�Other I
..ProjectStreetAd�►ross: .... .�..:. .._... ....._ . . . ..... _.._. _ _.__ .. .. .._...
� Z6 �� T/-bti��r- !�� �_
,(N i mber) (Street) (Suite#) -_. ........ . . ..._. ._..... . . .__ , .
I�Bul iding(Complex Name: `� Descnption of Trensmittal/List of Cha�ges, Items Attached: �
; ' ,
��..���Ap�licantlnformation... .__. .. . . . .. ..._ n�'Ov_`SR'� ���ci/ NS %� .,:
� I.:(architect,contractor,owner/owner's rep) . 11 n'F���L'` �.
. I Co�ntact Name:� �j'S�M �.,
-Ad�iress:�d /� �28� I ..
���.City �--/\(��--� State: � I Zip:��_ : ..
'�Co�tact Name: _��,(use additional sheet if necessary) ��
ntact Phone: ' 70— '� � l 6 _... ....... _... ...... . . ,
'Co i ' y1 ,Building Permits: . . .. .....
�i /fi� <� /J��� y�. /_ (a '�.Revised ADDITIONAL Valuations(Labor&Materials)
.Contact E-Mail: � 4v�S L � � 'CN�� "� ���DO NOT include original valuation) .
�� 1 hereby acknowledge that I have read this a plication,filfed out �,Building: $
'. in�full the informatiyLn required,completed anl�accurate pbt plan, ; � �
� a d state that all tl}e infortnation as required Is correc[. I agree to Plumbing: $
� comply with the infortnation and plot plan,to comply with all Town �..
'�, oriiinances and state laws, and to build this�tructure according ;Eledripi: $ �
'�.. tolthe town's zonin and subdivision codes, c�esign review ap- ' .
� proved,IMemation I Building and Residentia�Codes and other ;Mechanipl: $ ��
` ordinan he own applicable thereto.
I
I X � ,:�,Total: $� ,.� .
OwnerlOwner's � sentative Sig e�uiredj ..... __. ... ..._ . . . .. . .. . _.._.. '.
�
... .. . . _ .. . . _.._. _. .. . ._... .' Date Received:
II
I
i�
For¢fGce Use Only: � .
Fee Paid:
Received From:
��j Check# I
CC: ,VSa/MC Last 4 C�,C# e�.da :
uthorization# I
��