HomeMy WebLinkAboutB16-0280.001 transmittal.pdf Department of Community Development
75 South Frontage Road
( � � i4 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: Attentio `I isions
0 ,/ "espouse to Correction Letter
�� `��` � VIL�//" n attached copy of correction letter
O Deferred Sub ittal
f®Other ilf,, 1{
Project Street dress: ( L
• C/5-711 irkeD°V/ DIZ it 7°41
(Number) (Street) f_ (Suite#)
s
Building/Complex Name: o_ , Description of Transmittal/List of Changes, Items Attached:
Applicant Information
(architect,contra r,owner/owner's re,�1 � a
Contact Name: i �I U-1W I ) S&I S��
Address: /OeC r 7 62- Z-/3
City 1L►V State:(.---.0 Zip: R§-2-1)
Contact Name: P 17l vi ' 7 i lv�/ -�i�-(use additional sheet if necessary)
r
Contact Phone: 7OCaBuilding Permits:
Contact E-Mail: v rRevised ADDITIONAL Valuations (Labor&Materials)
t 61/ „J I L / (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled outing: $
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:buii.'this structure according Electrical $
to the tow ' zoning and su.di 1 ion ..des, design review ap- I
prove.I-)rt mationa,` it,, g .'tr 7. dental Codes and other =Mechanical: $
or. a of the f- /.p .1.4e -eto.
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#