HomeMy WebLinkAboutB15-0076 CR1 transmittal J�� Department of Community Development
t � 75 South Frontage Road
TOWN OF UA1L ` / va�i,co s�ss�
Te I: 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: Q Revisions
� �Response to Correction Letter
✓���� �D 7�' J� S1 G�- �h�+-��i �11 �attached copy of correction letter
���—�� ����r�c� Q Deferred Subm'ttal ,
' c� l• f�Other-�� �' ;��
�l�� � C� c H.�'� ���/
Project Street Address: ,� �
s�_ �N So N ���C�tz.c h. (/�-¢•'.
(Number) (Street) (Suite#)
Building/Complex Name: ��c c�h z �-/. �-oG�ti r'_ Description of Transmittal/List of Changes, Items Attached:
Zf C
Applicant Information ��-`'� �� �� C�Ur`'�'�-�'�s �?la �v�
c
�` �G��Ccc.�G'L.�tc-.ff�
(architect,contractor,owner/owner's rep)
Contact Name: , ^� �.c�
Address: �. , t3 ( �
City fi—�t� o n/ State:�v Zip:�
ContaCt Name: �l��5'��u �1% ���'�'����/k�w�{� (use additional sheet if necessary)
Contact Phone: `� rU F CJ��
Building Permits:
�tevised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: l��G' /'�9`L < <i I'Y�o r y� ��[���c�,o'���,ti r��DO NOT include originai valuation)
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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 subd'"'ision codes, design review ap-
proved, I ernational Buildi and Residential Codes and other Mechanical: $
ordin of the Town ic ble thereto.
X �"� •� �C��� Total: $0
Owner Owner's presentative Si fi r (Required)
Date Received:
�'� �� .� � ,� �.1.
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For Oftice Use Only ``�
Fee Paid: '' �,��Y � � 'LU1�
Received From: 'k
i
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: � ��1��v�(J�n,�p,��,.�
Authorization# ,,,.. �"�