HomeMy WebLinkAboutVeil transmittal form.pdf Department of Community Development
75 South Frontage Road
TON n roil i Vail, Co 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRMSMITTAL 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
B14-0171 Response to Correction Letter
attached copy of correction Letter
__.. Deferred Submittal
— 0 Other
Project Street Address:
531 E Lionshead Cr 307
(Number) (Street) (Suite#'
iionshead arcade
Building/Complex Name; Description of Transmittal/List of Changes, hems Attached.
Kohler Veil toilet $1,058 (instead of Kohler Ban
Applicant Information Install Veil toilet in master bath, lower water-
(architect, contractor, ownerfowner's rep) . -
Juliearine Zenzc -
Contact Name:
1120 Fargo Blvd
Address:
Cid enva state: IL 60134
Zip- -
Julleanne Zenz r er\GLe ex-
Contact Name
—_ (use additional sheel i_Inee ssary) VS 5-
Contact Phone- 60-673-8300
Building Permits:
jUliezenz@yahoo.corn Revised ADDITIONAL VaLuations (Labor& Materials)
Contact E-Mail: _-- (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, 9,185.00
and state that all the information as required is carred. I agree to PIurnbing' $ . .-..---
cornpiy 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 the Town applicable thereto. 9,165 00
X . Total:
...--_
OwneriOwner's Representative Signature (Required)
Date Received:
Fur Office t.se Only.
Fee Paid;
Reeved From'
i Cash Check#
CC: Visa{(IC Last 4 CC tt exp. date:
Authorization#_..-