HomeMy WebLinkAboutB14-0436 REV1 transmittal.pdfIOWIll (}F
Department of Community Development
75 South Frontage Road
Vail, CO 81657
f el:970.479.2128
www.vailgov,com
Development Review Goordinator
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 $1 10 will be charged upon reissuance of the permit.
Application/Permit #(s) information applies
to:
Project Street Address:
(Number) (Street)
Building/Complex Name:
Contact Name:
Contact Phone:
Contact E-Mail:
?t /4Address: 5S
I hereby acknowledge that I have read this application, Jilled out
in full the information required, completed an accurate plot plan,
and state that all the information as required is correct. I agree to
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
a
$
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Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name:
ordinances
X
Owner/Owner's ative Signature (Required)
evisions
Q Response to Correction LetterE attached copy of correction letter
Q Deferred Submittal
@Other
Building Permits:
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building: $
Plumbing:
Electrical:
Mechanical:
Total:
Date Received:
Attention:
Description of Transmittal/ List of Changes, ltems Attached:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp, date:
Authorization #