HomeMy WebLinkAboutB15-0073_B15-0073 Transmittal_1433186760.pdfTllWNIJF~ Department 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 $11 O will be charged upon reissuance of the permit.
Application/Permit #(s) information applies
. to: Attention: 0 Revisions O Response to Correction Letter
Qattached copy of correction letter · 0 Deferred Submittal
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......... ·--·------····--~ -·--· --·-,
·Project Street Address: (
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· (Number) (Street) (Suite#)
Building/Complex Name: lr'6JVSf01J <e /ad~e
Applicant Information
Descrir::;of Transmittal/ List of Changes, Items Attached:
c: JL)8 e S:\-f ,\cWf6..__ \
(architect, contractor, owner/owner's rep)
. Contact Name: IH·-ei co~
Address:~~ «l-ZCf'
. City . kttt:J{;:{'({; State: c_6 Zip: ~(fa:?(_ [-------------
;Contact Name: f}I# L6 ~<..J'-.)
·Contact Phone: Cf fa 3 ?-{, qf'Od
Contact E-Mail: · Afe..~<(f>avv..kJo..~\, (0,.._
(use additional sheet if necessary)
; Building Permits:
, Revised ADDITIONAL Valuations (Labor & Materials)
(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: $
comply with the information and plot plan, to comply with all Town ---------
ordinances and state laws, and to build thi tructure according ; Electrical: $ ________ _
to the town's zoning and subdivision co , design review ap-
proved, Inter · nal Building an · ential Codes and other / : Mechanical: $
ordinance eTown · e ereto. I ---------
For Office Use Only:
Fee Paid:------------------
Received From:----------------
Cash _________ Check#-------
CC: Visa / MC Last 4 CC # exp. date: -----
Authorization#----------------
\Total: $._o _______ _
Date Received: