HomeMy WebLinkAboutB14-0367 REV1 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAtt 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: 0Revisions
Vii — e) l'i ,0(, r n Response to CorrectionLetter
�' attached copyyofof correction letter
C)Deferred Submittal
e>c 0 Other
Project Street Address:
6 bk.
(Number) (Street) (Suite#)
VN.L. 1L
Building/Complex Name: > I .- Description of Transmittal/List of Changes, Items Attached:
C
Applicant Information (
(architect,contractor,owner/owner's rep)
w Fi.ove, ,/,,,,s,,,vri ,,,,,, m16...49- ,i : 4 tkrq,.
arrt
Contact Name: '_... \, c> o
Address: 3 , V t
City - } � ► State: Zip:
Contact Name:
(use additional sheet if necessary)
Contact Phone: -4"'t Building Permits:
Contact E-Mail: e—YYV_Q—\ \. 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 t . :.... e information as required is correct. I agree to Plumbing: $
comply,, h the in ormation and plot plan,to comply with all Town
ordin. ces and s..te laws, and to build this structure according Electrical: $
to tr`e town's zonag and subdivision codes, design review ap-
pr+ved, Intern. .nal Building and Residential Codes and other Mechanical: $
dinances . e Town applicable thereto.
Total: $0
Owner/O`= ers`-epr- entative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp,date:
Authorization#