HomeMy WebLinkAboutB14-0326_B14-0326 REV1 transmittal_1413912420.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL A 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$110 will be charged upon reissuance of the permit.
Application/Permit#(s)information applies
to: Attention: O Revisions
I O Response to Correction Letter
P I*� - 62.19 g(y -03Z$ Sit lt 4ell n� n attached copy of correction letter
0 Deferred Submittal
Pa.c-!y — 029a 1314 — 2.-a. Other GWdja.nt I #/
73.1rrri EA/6pr".
Project Street Address:
428g A , tJuipa..e'rMai
-
(Number) (Street) (Suite#)
Building/Complex Name: tU6CaET- LAME "D.JPLEX Description of Transmittal/List of Changes, Items Attached:
f?/Unc%i '!ColaJariirt
Applicant Information
deireif
(architect,contractor,owner/owner's rep)
Contact Name: '5.11N2.41/4.nP P►(A.
Address: P.O. ere +* 4—
City 'SAG L.G. State: C Zip: 814,5 1
Contact Name: AUC...1 f>.P.V 1 "44 (use additional sheet if necessary)
Contact Phone: 11-0. 209. 6,-2,e 4 Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: O.A ei Q @ S S't u`ck .Ge rvl (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $ d
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: $ 0
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#