HomeMy WebLinkAboutB14-0325_B14-0325 ILC transmittal_1427206980.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL} 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: 0 Revisions
0 Response to Correction Letter
Pis 14-, ��� D�L4 34 Z I—I attached copy of correction letter
(J Deferred Submittal
kio Other PDN, I LG
Project Street Address:
NUG6E-T LAN E
(Number) (Street) (Suite#)
Building/Complex Name: ;NNY-96€ L/1•1•• PtiPlA., Description of Transmittal/List of Changes, Items Attached:
Applicant Information tai&LXLL �R�vvI S� ��
(architect,contractor,owner/owner's rep)
Contact Name: Au -G/A DAvo- 141/1-
Address:
4 1/t-Address: &At 3 3 5 E41(-1
City State: Zip: cg I X03 I
Contact Name: (use additional sheet if necessary)
Contact Phone: 3 z 8 - 39 ere) K 4"'
Building Permits:
n , Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: �.c.0;..GCGt 5S 4-0..t Q . - r-1 (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:
$ O
comply with the information and plot plan,to comply with all Town
ordinances and state laws, and to build this structure according Electrical: $ O
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $ 0
ordinances of the Town applicable thereto.
XCLO ��a �.-.. �..�-.y� / `t• 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#