HomeMy WebLinkAboutB16-0022 CR1 - � ' Department of Community Develapment
- 75 Sou�h Frontage Road
::. :` "�`�` Vail, CO 89657
�����' ��:��'��"``;:; � Tel:970.479.2128
—� www.vailgo�.com
Developmen#Review Coordinator
TFZANSM ITTAL FORM
Use this form when submitting additionai information for planning appiications or buiiding permits.
This form is afso used for requesting a revision to building permits_ A two hour minimum buiiding review
fee of$910 wiil be charged upon reissuance of the permit. ,
...................................................................................._..._.................................................................... .....................................................---......................................._..........................................................._......................................................;
;Application/Permit#(s)information applies
to: Affention: �Revisions
;� � ^ �Q 7� /n .�f �Response to Correction Leiter
� �_ ��__ �affached capy of correction letter
? `�� � `O� [� �Deferred Submit�a!
�` `� 7 f�Oiher
:.............................................................................................................................................................................................................................................................................................................................................................................................:
�Projecf Street dd ess: D� :
5
� C9lb 1 . ta��, C�� �
:(N�mber) (5treet) (Suite#} �:.....................................................................................................................................................................................
`Building/Complex Name: 1-.A V a7 M �IG � Description of TransmittaU List of Cha ges, Items Attached:
; '
,. ...................................................................�--...................................................--........._.................................._.................:: 1 � :
�Appiicant fnformation ; �--��.
� �� �, ` �.�'tics{�l.—
;:(architect,contra���i�ier�n�'s'Fep���LTI�l � -
`:Confact Name: !�( \���F��1.�' ' -
� �
'Address:�� ��C (� � �'
1 £
>City_�(...r'C State: �� Zip: �((�3
�Contact Name: 1�(1�.�����..��l,.T�C �(use additional sheet if necessary)
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�Contact Phone: 3�-.............. .......�-......................-- -.......
; ^ �Suitding Permits:
` e ised ADDITtONAL Va[uations (Labor&Materials)
;Contact E-Mai1 . � C. , • OT include original vatuation}
� ,
; I hereby acknowledge that I have read this application,fiiled ouf ;guilding: $
; in full the informafion required,campleted an accurate plot plan, �
> and state that ali the information as required is correct. I agree to >Plumbing: $
; comply with the information and plaf plan, fo compfy wifh alf Town #
s ordinances and state laws, and to build this strucizare according ;Elsctrica(: $
; to the tow 's z ' g and subdivision cades, design review ap-
€ proved, rn i nal ding and Residen6 es and ather ;Mechanicaf: $
% ordina s of ap ' t r a
�X <Totai: �a� •
> :
� :
;Ow /Owner's epresentative Signature{Re red) >....................................................................................................................................................................................�
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�........................................................•-----......---------�----�--•--.._---......._.........__...............................................---........................- Date Received:
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For Office LTSe Ou11�: ' '� •
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Fee Paid:
Received From:
Cash Check#.
CC: Visa/MC Last 4 CC# exp.date:
Authorization#
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� PREGISE ASSEMBLI'
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Z E H R E N �� �� ���m ��,�►: �
� �►r1� ASSOCUTES, iNC. THE lANDMARK UNIT 204 RENOVATION �°BY� 01C
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