HomeMy WebLinkAboutLanders transmittal 7.1.14.pdf Department of Community Development
75 South Frontage Road
TOWN OF In 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: :,4•evisions
II • Response to Correction Letter
<ori t.k kQ l Le" 1 l attached copy of correction letter
A , 1 O Deferred Submittal
7i✓1 \AeV i °Other
P oject Street Address:
(Number) (Street) (Suite#)
Building/Complex Name: Descriptionlof Transmittal/List of Changes,Items Attached:
Applicant Information Pie\1��vY ` 'A v` , "
I1/4A7-\f-V\ 12 -A rN A
(architect,contractor,owner/owner's rep) `]� C�� `
Contact Name: C\ 1 t`��� ' " e 1 J'
Address:
City 560C(Lin
Sttate: Zip:
OWACiAn—Vo 1'-2 Y�Contact Name: (use additional sheet it necessary)
Contact Phone: 39 0 5i tp Building Permits:
+ ,1 /�„ Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: it_ l eCiCY1 (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 es oft e Town applicable thereto.
X Total: $0
Owner/Owner's presentative Signature(Required)
Date Received:
For office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#