HomeMy WebLinkAboutB14-0136 REV1 Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 1 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: Revisions
0 Response to Correction Letter
(:,;76 ,� . - ` ,�€ f n attached copy of correction letter
Q Deferred Submittal
Other "m R7,70/.7,
Project Street Address:
/ 7 ( .� 1. ? .f:
(Number) (Street) (Suite#)
C
Building/Complex Name: f—:r 14 d ;.ISE i Description of Transmittal/List of Changes, Items Attached:
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name:
f at_�res %Y , ' -
•
Address: t-7
City . , (( State: ( 4f Zip: 7/c i,- 0
Contact Name: (use additional sheet if necessary)
Contact Phone: r'. ^7 ` 0
Building Permits:
Contact E-Mail: �. /?4 r x ,4' ;r- t{r r
Revised ADDITIONAL Valuations(Labor&Materials)
(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 of_tie Town applicable thereto.
X Total: $0
Owner/Owner's Representative Signature(Required)
Date Received:
For Office Use Only
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#