HomeMy WebLinkAboutB14-0326_B14-0325 B14-0326 Geotech transmittal_1444425780.pdf Department of Community Development
75 South Frontage Road
TOWN OF 1/AIL 1 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
p(LLT Ig- - o 14 -o?,2.5 S►el gel[Ai 11 attached copy of correction letter
0 Deferred Submittal
?a- -c 14- 14 - 03 2.C.> Other t r,sPe..„
Project Street Address:
4248 p.+ 13 Nu66e-r
(Number) (Street) (Suite#)
Building/Complex Name: Vu66er (-SNE DJPL' C Description of Transmittal/List of Changes, Items Attached:
Applicant Information .E7CAll..f> -� fL r -uN t�� I Li
(architect,contractor,owner/owner's rep)
Contact Name: Pc1.- .tit!a• bp.v
Address: ? 0. (34,>, 3 3 $ 8
City C.P-&l.F State: C o Zip:
Contact Name: — (use additional sheet if necessary)
Contact Phone: 9 R O . 01 . o'i- Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: , t ay+--) (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $ O
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: $ O
ordinances of the Town applicable thereto.
X p-[A. 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#