HomeMy WebLinkAboutB15-0026.001 transmittal.pdf •
. -. Department of Community Development
W,.- 75 South Frontage Road
TM ., ' • Vail, CO 81657
' Tet: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$910 will be charged upon reissuance of the permit.
Application/Permit#(s)information applies
to: - Attention: 0 Revisions
�� 3 0 Response to Correction Letter
n- ]1 attached copy of correction letter
0 Deferred Submittal
0 Other
Project Street Address: µµµ� i
(Number) (Street) (Suite#) i _._...._... - -
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
._._.._... ._........_. ....__..._... ...1 T' ___ ' 1-- .1'A., 'P - S
'Applicant Information
(architect,contractor,owner/owner's rep) t
•
iContact Name: p�R,`� LL
1 Address: �O( -2,.c
Icity ~~A) .� Q 1& S State: � Zip: i) (- --,
Contact Name_ -" I LL E(use additional sheet if necessary)
Contact Phone: 1�(} - I Building Permits:
.� 11.1 ,, r'Revised ADDITIONAL Valuations(Labor&Materials) .
Contact E-Mail: 6 Zl} -. ® c4 rli L � l`-1 (DO NOT include original valuation)
i .
s I hereby acknowledge that I have read this application,filled out Building: $
1 in full the information required,completed an accurate plot plan, -
i and state that all the information as required is correct I agree to Plumbing: $
I comply with the information and plot plan,to comply with all Town ,
ordinances and state laws, and to build this structure according i Electrical: $
to the town's zoning and subdivision codes,design review ap-
Iproved, International Buildins >-`Residential Codes and other Mechanical: $
I ordinances of o� .,;IBJ.e thereto.
ix r ITotal: $g
Owner/Owner's Rep -sentativ= Signature(Required) /_..__
1
1......_......................_.. ._.. .__. __.._-_ _. _..—_....... - i Date Received:
For Office Ilse Only: -
Fee Paid:
Received From:
Cash Check
CC: Visa I MC Last 4 CC 4 exp.date:
Authorization#