HomeMy WebLinkAboutB16-0294.001 transmittal.pdf AIN
Department of Community Development
75 South Frontage Road
TOWN OF VAIL e 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: Attention: revisions
O Z-1 Response to Correction Letter
L _I 174 1 �C'y .ev\ - f attached copy of correction letter
(Q Deferred Submittal
(0 Other
Project Street Address:
-120
(Number) (Street) 1 (Suite#)
Building/Complex Name: 6`106-1A eR-y ' (o Description of Transmittal/List of Changes, Items Attached:
I 12 -1- eh2
Applicant Information rT CSP s / M-P(�?r7r l u�
(architect,contractor,owner/owner's rep) ( �1?v1�L> S
Contact Name: 'Sr._
Address:
City State: Zip:
c
Contact Name: J� (use additional sheet if necessary)
S
Contact Phone: �5O �) Lo Building Permits:
Sri �' Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: Y-Gi S ((A,r (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 this structure according Electrical: $
to the town's zoning and subdivision codes, design review ap-
proved, ternational Building and Residential Codes and other Mechanical:
ordi :nces of the Town applicable thereto.
X al,A __ Total: $0
Owner* n-r's R:irv-entative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash • Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#