HomeMy WebLinkAboutDRB140320_Adler DRB transmittal 8.14.14_1408047300.pdf Department of Community Development
75 South Frontage Road
TOWN OFUAIL ' 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: Q Revisions
50 a() ` .1&-Response to Correction Letter
Ha;f� bv�Q_ �-F� AJ fl attached copy of correction letter
Q Deferred Submittal
Q Other
Project Street Address:
„CO:2-0 Ma;n 6;at.0-1)Q- ( 2
(Number) (Street) (Suite#)
Building/Complex Name: �OC.14- GOV'2. V �Z�' _ Description of Transmittal/List of Changes,Items Attached:
Applicant Information A \ (1z�[� , CAP\
(architect,contractor,_ownner/owner's rep)
Contact Name: SF-
Address: G. �A
Address:
City State: Zip:
Contact Name: s A,a-Ak2.
(use additional sheet if necessary)
Contact Phone: cZ 0 39 b S-7-7 Lp Building Permits:
`6 Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: •C>LXY� (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,International Building and Residential Codes and other Mechanical: $
ordi ces of the Town applicable thereto.
X Total: $0
Owner/ ner's Re resentative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC It exp.date:
Authorization It