HomeMy WebLinkAboutB14-0326_B14-0326 Blower door transmittal_1449242460.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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
C Response to Correction Letter
P f--J. - 6'2-161 " L L( 4 [1 attached copy of correction letter
! 2:27
( O Deferred Submittal
027,2-6, X 2,27 . Other
Project Street Address: •
4'2e'S O GG tet` La
(Number) (Street) (Suite#)
Building/Complex Name: NUC Gi(_P -' i7 W(-E CDescription of Transmittal/List of Changes, Items Attached:
Applicant Information U ti Tr gam, b
(architect,contractor, owner/owner's rep)
1— "n. (Lia c-a --
Contact Name: AL (-., DA.VCS At a-
Address: ?c). (3 v 5C 3 S 8
City -wG Lh State: GCS Zip: ,
Contact Name: (use additional sheet if necessary)
•
Contact Phone: . 2[79.- (p 3 0 Building Permits:
' •` Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail. Q�L_ .c t-e. Crt'Q c Ct (DO NOT include original valuation)
I hereby acknowledge that 1 have read this application,filled out Building: $ c,
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:• $ a
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other Mechanical: $ C'
ordinances of the Town applicable thereto.
Total: $
Q�
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#