HomeMy WebLinkAboutB16-0199.001 transmittal.pdf •
s Department of Community Development
�;�;°"`� 75 South Frontage Road
"' '` Vail,.CO 81657
Tel:970A79.2128
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: evisions
i3( /o `�„ e ( ng 0 U I, O Response to Correction Letter
� n attached copy of correction letter
0 Deferred Submittal
, 0
Cher
Project Streetddress:
770 P&( l TO Ai-7-OfIib
(Number) (Street) (Suite#)
Building/Complex Name: iS Description of Transmittal!List of Changes, Items Attached:
;Applicant Information 6,7c,-z,..--",,..:7G ,5 L-✓t_ X020 Al,p7
(architect,contractor,owner/owner's re ) I /me. 2c7 0 k A2
Contact Name:
(641,b
Address:
City State: Zip:
z
}Contact Name: (use additional sheet if necessary)
Contact Phone: Building Permits:
}Contact E-Mail: Revised ADDITIONAL Valuations (Labor&Materials)
I(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, t _.
and state that all the information as required is correct. I agree toPlumbing: (, cJ
q 9 ; $ �c9 D
comply with the information and plot plan, to comply with all Town s
ordinances and state laws, and to build this structure according 3 Electrical: $
to the town's zoning and subdivision codes, design review ap-
pro -•, nternatio.- l' f and Resi j,-ntial Codes and other (Mechanical: $
o':man.-s th- To ;•map• tea.",giv,r- •.
3of
b i Total:' $0 000
Owner!'awner's Representative Signature(Required)
Date Received:
For Office Use Only: - J A' 1'
Fee Paid: '
Received From: AUG 2016
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: TOWN 1'F A
Authorization#