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HomeMy WebLinkAboutB14-0429_B14-0429 Special inspection transmittal_1440106560.pdfDepartment of Community Development 75 South Frontage Road 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 ?J IY ~ oc1~1 Project Street Address: (l g') C 1KPzl ;J (Number) (Street) (Suite#) Building/Complex Name:-------------- Applicant Information (architect, contractor, owner/owner's rep) Contact Name: M ( ltS Ck vZ{ (L- Address: --+-e-_-e>_ ... -~-0/C _ _._~_·;~i_lf; ___ _ City _-*'~,,___,.__,___L_.f __ State: [/D Zip: Contact Name: ------------------ Contact Phone: __ "f ..... 6_~_~_0_9-f~.__3~------ Contact E-Mail: _________________ _ I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, r;:e ign review ap- proved, International Building an sidential odes and other ordinances of the To applic le tnereto. x . -' e (Required) For Office Use Only: Fee Paid:------------------- Received From:----------------- Cash _________ Check# _______ _ CC: Visa / MC Last 4 CC # exp. date: ____ _ Authorization#----------------- O Response to Correction Letter .D_ attached copy of correction letter O Deferred Submittal ()other ___________ _ Description of Transmittal/ List of Changes, Items Attached: (;fcfZ-tf'\L l('--7/7€Z-'f{-O N (use additional sheet if necessary) Building Permits: Revised ADDITIONAL Valuations (Labor & Materials} (DO NOT include original valuation) Building: $ Plumbing: $ Electrical: $ Mechanical: $ Total: $0 Date Received: ig©igowig n AUG 2 O 2015 U TOWN OF VAIL