HomeMy WebLinkAboutB15-0076 REV1 transmittal � ...,��w�.�..��w�...�. ..w�..� .. � �� .� _�.. ..�....
� Department of Community Development
75 South Frontage Road
TUWN QF VAIL � Tei�9io a�9isis
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: �Revisions
� �Response to Correction Letter
�� �;���� � ,M,- �t� - Oa r� ��-�attached copy of correction letter
Q Deferred Submittal
��� '� � ���� (�Other
Project Street Address: (� �1 '
�7� �j t-1 cr�U 5 otJ 1C(�.�vtr.lti �
�
(Number) (Street) (Suite#)
BuildinglComplex Name:�''"�q� ��' � `"""�� Description of Transmittal!List of Changes, Items Attached:
�U�rn�� �� 1 a(v s � (.�.�iN��L� FYl.A"5
Applicant Information
���(( /1�-�ua��v �n► �ro b`�' W� Nc!o�vS q—
(architect,contractor,owner/owner's rep) �
-�p,� '�'►� i uS��l a.��v>v � -}u��u
Contact Name: �2�.^' .-e.r �� G v� /'
Q,� .. L.� � (�j C{ � Cl�.!�vu a"��� c`D O r�� j `F�' �E-v��,,,r�'
Address�
Cl� z S -�l.e�a�io�
City tJ N State: p: f �' Z�
Contact Name: `-'��'� 'z- ��'� �"� (use additional sheet if necessary)
Contact Phone: �'�( — ��3� '` � r�� Building Permits:
) Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-MaiL ff�'t��R'�� �f�q�``/ °,���AT...�(DO NOT include original valuation)
L �
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 state laws, and to build this structure according Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved,I rnational Buii ng and Residential Codes and other Mechanical: $
ordina of the Tow plicable thereto.
X �, � " Total: $�
Owt/i�r/Owner's �e resentat' i ature(R�,quired), ` ,
�=t,�D,'�y C:--�,n.t�n�� �Sl4M��`'i/• � c�.-�
D V � Date Received:
For Office Use Only: Vw,,, � �` � � �// � n
Fee Paid: � �
Received From: '�� i�
Cash Check# ; � ��Y `� �; ���� �
CC: Visa/MC Last 4 CC# exp.date: ?, � �
Authorization# �
€ �TU1fVIV �� �AlL