HomeMy WebLinkAboutB14-0326_B14-0326 REV2 transmittal_1419271500.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
1 0 Response to Correction Letter
ply 14-- D'2-'T 14 - O3 2.5 5-14 (tc.� $e 1Irvl 17I attached copy of correction letter
1 0 Deferred SubmittalSoi/s-
R-? 14 - c 2 1"I Bt'•{ -032- (Other /2/Li v coirrr, Fhjirt
Project Street Address:
Lan.c.
(Number) (Street) (Suite#)
Building/Complex Name: flJut c7 La.s ic- bvp I- x Description of Transmittal/List of Changes, Items Attached:
-HQ
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: 6.4 .rcq 1) tviS / Q(A- � — ��b `� y 189
Address: �oX 17S Q 13, �0•Tg17 1 Z. t�(� Zo L#-
City rotate...— State: Co Zip: 81(03/
Contact Name: u a ct v(,s' (use additional sheet if necessary)
Contact Phone: 41 q-c) , -2_0 =1 _ !'3 8 a=F- Building Permits:
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: at G t`c s5-4-2:1‘ rr,k_ (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: $
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 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#