HomeMy WebLinkAboutB14-0366 REV1 transmittal.pdfTOWl'/OF9
Department 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 re issuance of the permit.
Application/Permit #(s) information applies
to: Attention: 0 Revisions
a _ / : J _ 0 J 1 / ~ I -1 + J 0 Response to Correction Letter
0 ' i} ~ \J ~'J -l-Jo YI_ 9 fl\ o n .o_attached copy of correction letter
/ ) 1 .IJ 0 Deferred Submittal f 0 ?o l trOV7.J A&_qd f L QOther ac:J,..1,./-.,,? VJo, ( 1 Y'I ""ta
\.) Q. 1 l CO ·. 5m·o r ·PG..;;J<.><:?f·-'b>fr:;_~-~~":·~ -.---------------~----·---.. -----···· ··-----"-· · -· ---.... ···
......,_.,,===---...___ _s:u~~2--~5ZJ:.m~o~r~f uJ ao /
(Number) (Street) ) 7 (Suite#) l 75-/_.;v y;.J AQ cD' /) L
Building/Complex Name:-------------
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: R I ck 13 vd 2-......1 n. J k. I
Add'"'' S 1 S L.m J "'27 / L q
City G y /Jv..1 u YY) State: Cf O Zip: 8' I b;? ?
contact Nfrne: R 1 c ~ 13 \.JJ-zT hJ Js 1,
Contact Phone: 9 70 -'7 71 ~ / S 0 g
Description of Transmittal/ List of Changes, Items Attached:
arJJ 1f10 /Ile / ui -±? -f-o r-
. (use additional sheet if necessary)
i Building Permits:
'-I · · · / / 'Revised ADDITIONAL Valuations (Labor & Materials)
Contact E-Mail: C (} vd ',/ i1 ( k; i @ lt1 k..-..1 7o k:::: . (DO NOT include original valuation) r r cJ .ff> .~,,,-f-i o/), c 0•'-'1
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
to the town's zoning and subdivision codes, design review ap-
proved International Building and Residential Codes and other
ordi an es oft T n applicable thereto.
For Office Use Only:
Fee Paid:------------------
Received From:----------------
Cash---------Check#-------
CC: Visa/ MC Last 4 CC # exp. date: ____ _
Authorization#----------------
Electrical:
Mechanical:
Total:
Date Received:
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NOV O 5 2014
TOWN OF VAIL