HomeMy WebLinkAboutB14-0390 transmittal Department of Community Development
75 South Frontage Road
TOWN Of 1/All�` va�i, co s�s3�
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 buiiding 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
� '� .�,j� �Response to Correction Letter
1� I �I ` CJ '� � �attached copy of correction letter
V Q Deferred Submittal
�Other
_
_
:Project Street Address: �
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�v`C.
(Number) (Street) (Suite#)
i ��� �
Building/Complex Name: ��ll Vr �C;2�7 ' IG�-T'� Description of TransmittaU List of Changes, Items Attached:
s - _� � C--.�, �(
Applicant Information �� ��� �
(architect,contractor,owner/owner's rep)
Contact Name: ��f�-� �� ��-i - �
Address:
City State: Zip:
Contact Name: (use additional sheet if necessary)
� 7�1 - �- � �G _ _ _ _ _ _ . _ �
Contact Phone: Building Permits:
--�;-t/ ��� �,��(���f'.�t ��^ Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: �•� [� «' ' (DO NOT include original valuation)
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, International Building and Residential Codes and other Mechanical: $
ordinances of the Town applicable thereto.
X Total: $0
Owner/Owner's Representative Signature(Required) - - - - - -
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp. date:
Authorization#