HomeMy WebLinkAboutB14-0389_B14-0389 REV1 transmittal_1444254180.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: ,Revisions
'�l QQ C / �/. \ 0 Response to Correction Letter
-T �v 1 C.-�e--6.L--1 13 0t - Il attached copy of correction letter
S Ll- --{ 0 Deferred Submittal
0 Other
Pr jec Street Address:
ir(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
b 4171::1101-144...- ( t; z
Applicant Information/ _ 1.-s x\
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j D!-) I f /z
5 1IJG - 2a It
(architect,contractor,Lner/owner's rep) P`XT��`'- �/G 'tt (1D
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Contact Name:' rrl` 115 d-rt.bkh-Nag
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Address: m -`r' gp....rik.. )
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City\/L`iL - State: Z----e2 Zip: �I(.175C.-) t ,J IrJ �1�ti, -`off ��=c-eco,.),
Contact Name: ._...
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tZ4c�t=-� (use additional sheet if necessary)
Contact Phone: c170- 14 1- !03 LI" Building Permits:
J I t_ /_ Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: GDI'UG e V -tY-h.T�'-�S Cowl (DO NOT include original valuation){
I hereby acknowledge that I have read this application,filled out Building: $OD.2S4:1>rT 4 ALS
in full the information required,completed an accurate plot plan, �..{
and state that all the information as required is correct. I agree to Plumbing: $ " V''t ��
comply with the information -id plot plan comply with all Town
ordinances and state I- nd to • 'I th' structure according Electrical: $
to the town's zoni.. -.. s •• co s, design review ap-
proved,Inter.- ••. : •i.• an• 'es' ential -s and other Mechanical: $
ordinanc= • e •w -ppli :•le there s. I
1 X ��� Total: $0
O `� �% . - Sig equired)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#