HomeMy WebLinkAboutB15-0085 REV2 Transmittal '., Department of Community Development
75 South Frontage Road
TOWN OF VAIL Vail, CO 81657
Tel: 970.479.2128
www.vaiigov.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
Response to Correction Letter
845—oDB j;]_attached copy of correction letter
10 Deferred Submittal
Other
Project Street Address:
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal!List of Changes,Items Attached:
Applicant Information io (sal
�C3�u5ttw.Y+ p t►t► "` lS U01:7E
(architect,contractor,owner/owner's rep)
Contact Name: �[ obt,tE. t MIKE S o�
.G ak ��
Address: Bx.70•3767. 65 4;
City fi JGv'\ State: CO Zip: 314 )-
A
At—
Contact Name: l � 1-S d k (use additional sheet if necessary)
Contact Phone: 9 z, " J76 Q L /
Building Permits:
/c Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: S fticq kvef'i-C6h.5kvc (ffkt .co (DO NOT include original valuation)
11
I hereby acknowledge that I have read this application,filled out Building: $IVo ApI rl'torJAC.-
in full the information required,completed an accurate plot plan, tt
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 this structure according Electrical: $
10 the town's zoning and subdivision codes,design review ap-
proved,Internationa Building and Residential Codes and other Mechanical: $
ordinanc t o n applicable thereto.
X Total: $
Owner Owner's Representative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash_ Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#