HomeMy WebLinkAboutB14-0302 REV1 ILC transmittal.pdfDepartment of Community Development
75 South Frontage Road
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:
};;tf 03o;?-
Attention:
Project Street Ar;!Sfess:
2--l? 7 Gi7/2-ndA L&Jc.-__ _
(Number) (Street) (Suite#)
0 Revisions O Response to Correction Letter
fiattached copy of correction letter 0 Deferred Submittal · O Other __________ _
Building!Complex Name: ~ f2.t21 GA-rt.I f!t:s, al(.~ription of Transmittal/ List of Changes, Items Attached:
Applicant Information
Contact Phone:
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, In rnational Building and Residential Codes and other Mechanical:
ordinan oft To pplicable thereto.
X Total:
$ ________ _
$. ________ _
$ ________ _
$ ___ _,."'-"'.----
$ o;.:_±.z,•----------
Date Received:
For Office Use Only:
Fee Paid:------------------
Received From:----------------
Cash---------Check# ______ _
CC: Visa / MC Last 4 CC # exp. date: ____ _
Authorization#----------------
Q1 ue: ~~ ITH \w r~ ~
n MAR l . 2015 ~
TOWN OF VAIL