HomeMy WebLinkAboutB14-0136 CR1 transmittal.PDF r ;. Department of Community Development
75 South Frontage Road
TOWN OF MEI ' Vail, CO 81657
Tel: 970.479.2!28
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: 0 R cions
esponse to Correction Letter
n attached
Deferred Submltot f correction letter ;
•
0 Other
Project Street Address:
(Number) (Street) (Suite#)
Building/Complex Name: ' Description of Transmittal/List of Changes, items Attached: .
Applicant Information L. _
(architect,contractor,owner/owner's rep) ra� — U� ` ' kJ� t/�
Contact Name:
'1-'1,0C L f_ - a�d i L Vic. Vii,`
Address: \-3 O. ji ci c 7 ••
•
City ,tjvd\ State: CO Zip: t h oLU
Contact Name: l
/ fit.{,i•'1 ' 'rf y Bc , (use additional sheet if necessary)
•
---?(Contact
Phone: g l 7e. .. 41T3O •
Building Permits:+ - • • •
r �y ` Revised ADDITIONAL Valuations(Labor&Materials} i.
contact>=-Mail: ` ( E{Gr(Gi, �9 e 1(? .�SbI�C� Iv1,.�.(ds {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: $
ordinances f e'Town applicable thereto.
X -.-- l Total: $0
•Owner w r epresentative Signature(Required) . ..
. . _.. .. . . .. Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC#_ exp.date:
Authorization#