HomeMy WebLinkAboutB14-0389_B14-0389 REV2 transmittal_1445456400.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
S1 03
Qq Response to Correction Letter
(� 1 fl attached copy of correction letter
Q Deferred Submittal
(�Other
Project Street Address:
47--4
(Number) (Street) (Suite#) _
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
Applicant Information r,3oZ
SLIDt..) (.dol..) -tri
(architect,contractor,owner/owner's rep)
Contact Name: \//n utte- 4 rL-A4.)w1Ev'e", <<`�' (S
Address: re, gmx 1134 -
City \/A- State: GD Zip: 51 L S S
Contact Name: c 1rar--t,tt ( (use additional sheet if necessary)
°17 °l��- 703 ------ ----- ----------- ------------
Contact Phone: t ' Building Permits:
�" Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: Godr�Nui q �a��►�
1 ' riCs.coy•% (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $�d tTt4Je4_
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing: $ VALVE--
comply with the information and plot . -•, o comply with all Town
ordinances and state laws, and . .uild this structure according Electrical: $
to the town's zoning an. ; . vision codes, design review ap-
proved,Inte •- io - : din! -nd Residential Codes and other Mechanical: $
ordina -s of •- •wn -.plicable thereto.
�✓ —'y Total: $0
Owner/Ow�1Rep e -'.nature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#