HomeMy WebLinkAboutB14-0325_B14-0325 Blower Door Test transmittal_1456512120.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL p 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.
Application/Permit#(s)information applies
to: Attention: O Revisions
P2Letter
3.14 - 6Li.9 - H- 032,5 Si-teak/ gE�,L� Response to copyoecn correction
I I—I attached of letter
O Deferred Submittal
. 2-42. =,1 C Other
Project Street Address:
$42-88 I`rLr(o& e-r LANs �1rv +rr�
(Number) (Street) (Suite#)
Building/Complex Name: N 0 66 r es- PSP Le,C Description of Transmittal/List of Changes, Items Attached:
UN' rr p- $U151.4-3 '— DcraYt�
Applicant Information
CAST f �o r�
(architect,contractor,owner/owner's rep)
Contact Name: &L.c.0 a- DA.V[S
Address: R o , iga Z 3 3 S S
City 2A.6 L. State: C c Zip: G1(F. I •
Contact Name: (use additional sheet if necessary)
Contact Phone: Cl 0 . (4,3 — Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: t u Q("a 5SGc t R . Gov" (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#