HomeMy WebLinkAboutB14-0400 REV2 transmittal.pdf Department of Community Development
75 South Frontage Road
Vail,CO 81657
TOWN OF UAIL Tel: 970.479.212$
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$110 will be charged upon reissuance of the permit.
ApplicationlPermit#(s)information applies :visions
to: Attention:
' / sponse to Correction Letter
�� `�N1 ��V f1attached copy of correction letter
0 Deferred Submittal
10 Other
Project Street Address:
(Number) (Street) (Suite#) -
•
Building/Complex Name: i.e_ E - 1 Z.■ ■- Description of Transmittal!List of Changes, Items Attached:
•Applicant information y 9 V _ mo, I_ n yAidM f
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(architect,contractor,ownerlowner's rep) 1(2-9.-
� ��C�LI�� �i}���1
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Contact Name -- F$ C_, 1
Address:
City State: Zip:
Contact Name: G (use additional sheet if necessary)
Contact Phone: `` O '
1q `J,� Building Permits: a
Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: _■ ' r. 0,• • ' (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $ 0
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-
p d,International Building and Residential Codes and other Mechanical: $_
rdi ance f the Town applicable thereto. p �
Total: $
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Own r/Owner's FR presentative Signature(Required)
Date Received:
For Office Use Only
Fee Paid:
Received From: -
Cash _ Check#
CC: Visa/MC Last 4 CC# exp.date: _
Authorization#_