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HomeMy WebLinkAboutapplication_9.pdf Department of Community Development 75 South Frontage Road 41 TOWN Of VAII' 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: evisions j(D T2 Response to Correction Letter attached copy of correction letter o Deferred Submittal 0 Other Project Street Address: 2'°4 P C.--T (Number) (Street) �/� (Suite#) Building/Complex Name: // ° Description of Transmittal/List of Changes, Items Attached: E Applicant Information /, ,/ aftI(A r/I/41,6i a !'YtG ,aft...rti1 (architect,contractor,owner/owner's rep) Contact Name: fin'64- ( 7 09 /C Address: 7i°v 0 /Ij/�SiwGo l Co'I AIva itwG ✓oos� 3Wel" b i741..e.... 6t a{(/tc�J ,6ti.3C�✓nuw-e' at,-� CityV/7/4-- State:(/0 Zip: 13/6 Contact Name: I(use additional sheet if necessary) Contact Phone: (I? ) 3?0 2-(e6 Building Permits: / -Revised ADDITIONAL Valuations(Labor&Materials) Contact E-Mail: vaN kl f 1r men Pic, . �{ +�'t:1 a corn (DO NOT include original valuation) I J29 0 hereby acknowledge that I have read this application,filled out ;,Building: $ 3 / 7 " in full the information required,completed an accurate plot plan, / D and state that all the information as required is correct. I agree to Plumbing: $ 6� 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 - d Residential Codes and other Mechanical: $ C,(C° ordinances of the Town appi ble .-reto. X Total: $0 , ?_613 Owner/Owner's Represe .=five Signature(Required) �_._.... _.._ . Date Received: 17S I Lk.d u,,,,k r'�RECEIVED For Office Use Only: l 0 S P Fee Paid: u 2 SMAR 0 6 2017 Received From: Cash Check# CC: Visa/MC Last 4 CC# exp.date: C Town of Vail Authorization#