HomeMy WebLinkAboutB14-0096 REV2 transmittal '`��'�•�:� ` Department of Community Development
75 South Frontage Road
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. ,
_......................................................... ............................... ......_......._..............._.........................................................._........_......_....._............_................................ ..........._.............................
;ApplicationlPermit#(s) information applies
€to: n Attention: �Revisions
/,-� � ,�/ ^ �Response to Correction Letter
[����" �/G ��% �� " �� � j )/.� �attached copy of correction letter
�Qeferred Submittal
���lJ� (�(..Z) /f�L ��� (�Oiher
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Project Street Address: !
��G� �-�-'��U�� ��____sa� '
:(Number) (Street} (Suite#j `.
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Building/Complex Name: " Description of Transmitta List of Changes, Items�Attached:
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: ;
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......... ......_............ ............. ......... _... ................ .............._ .. _.. . .................... j��rce� cc� —� � ��ii
Applicant Information �
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'(architect,contractor,owner/owner's rep)
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Contact Name: /"` ��w�t � �L u� C/(.0
Address: ( �� d'V•' �d�� �'2 �/
;City State:�U Zip: ��
!Contact Name: �1 v`���JC. ���(, � � ;;, (use additional sheet if necessary)
!Contact Phone: � � � �� ���� Buitding Permits:
r _) <' 'Revised ADDITIONAL Valuations (Labor&Materials)
'°.Cont�ct E-Mail:/'�li�� � �'ICCUi���� /.i� `�.�711 �L��3(�O NOT include original vatuation)
: 1 hereby acknowfedge that I have read this application,filled out <Building: $
;i 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 I:Electrical: �
! to the town's zoning and subdivision codes, design review ap-
;I proved, International Building and Residential Codes and other >MechanicaL $
ordinanc�es th To ap � thereto.
,V !�? � !Total: $�
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'Owner/Owner's Represent � gnature(Required) :;.........__..._................................................................................ ..................................................................._.......:
! Date Received:
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For Office Use Onh�: ��� � � `o��
Fee Paid:
Received From: �O,A,n' OC e,^�I
Cash
Check# ���V f V/-\ L
CC: Visa/MC Last 4 CC# exp.date:
Authorization#