HomeMy WebLinkAboutapplication_9.pdfTOWN Of~ Department of Community Development
75 South Frontage Road
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: /J,/6 --tJ4-2fo Attention: filevisions
Project Street Addre~> £-APS74
(Suite#) (Number) (Street) J
Building/Complex Name: ___ ._ti/---10 ......... ff'--------
Applicant Information
· (architect, contractor, owner/owner's rep)
Contact Name: __ f,~£-A"_t _6/l ___ CiJ_P_& ___ _
Address: Z.-0 ? 0 M51rv60 /f'W
City _.......,// ......... ~..__/L-___ State: _VJ_ Zip: Sib fr
Contact Name: __,, __ __,,_ ___________ _
Contact Phone: ( 9 1-1J ) ~ f () ,--ZI fP 6
Contact E-Mail: tfi31'1 Jr ·(Jl1.'(f1. fn (._ ~ J r/h ~ f o UJ/'h.
I hereby acknowledge that I have read this application, filled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
comply with the information and plot plan, to comply with all Town
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap-
proved, International Building d Residential Codes and other
ordinances of the Town app · ble reto.
x~-------'"~---------0wner1 owner· s Represe
esponse to Correction Letter
ttached copy of correction letter 0 Deferred Submittal QOther __________ _
Description of Transmittal/ List of Changes, Items Attached:
'fl!,. CP fl Ar UV l otJlv&'O Jto-
ttcf o( /n j h tJ e b I? arel..
(use additional sheet if necessary)
Building Permits:
3 wef ba/' t1,re.-"'-
hut±
· Revised ADDITIONAL Valuations (Labor & Materials)
: (DO NOT include original valuation)
Building: $ ; I 1 ft;o
: Plumbing: $ t.100 I
Electrical: $
Mechanical: $ trsro i
<-:n/ f-88 Total: $0
(
Date Received: ;::~L--, I t--~~-is
.-F-or-Offi-1c-e U-se_O_oly-: ---------------. I l{_ o<; . a l .-" / liEcEIVED
Fee Paid:_________________ ID r ~ /
Received From:___________ \: 1--) MAR 06 2017
Cash ________ Check#_______ ~-
CC: Visa I MC Last 4 cc# exp. date:----c v Town of Vail
Authorization# _______________ _