HomeMy WebLinkAboutB14-0033 ILE transmittal Department of Community Development
75 South Frontage Road
TOWN OF VAII` va�i, co s�ss�
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.
_ _, _
Application/Permit#(s)information applies
to: Attention: Q Revisions
"`,�,���-y-�•-y_;1J �Response to Correction Letter
Vl—r— �.�6L'� .[Lattached copy of correction letter
�Q� ,���� C-� Q Deferred Submittal
�� � . �Other
Projecty,S,treet Address:
(/L,��J-�r��� L�l�l�--
( umber) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
'"1"-'f �'�.
Applicant Information �v^p
(architect,contractor,owner/owner's rep)
Contact Name:__��J "?--
Address:
City�/,�l State: ��Zip:���
Contact Name: '� �� (use additional sheet if necessary)
Contact Phone: �`" Building Permits:
� � Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: (DO NOT include original valuation)
u . .
I hereby acknowledge at 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, In rnational Building and Residential Codes and other Mechanical: $
ordina� of wn applicable thereto.
X � •' ,,y/�� Total: $�
Own wner's e res ative Signature(Required)
,
Date Received:
For OTfice Use Only: 3'I l.'.�=� L�:? f�-,-, I' �n I G', n
Fee Paid: � �
�� ' i�
Received From: ��, ��� �� ���� � ��
Cash Check# �� �I;1 � � J(
CC: Visa/MC Last 4 CC# exp.date: L�
, `-�i�'`- ` J
Authorization# TOWN QF VAIL