HomeMy WebLinkAboutB14-0467 REV1 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL ' 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$110 will be charged upon reissuance of the permit.
Application/Permit#(s) information applies
to: Attention: 0 Revisions
Letter
VEs1R€st D E`IC f. A00 t�(uk► MAS► ®Response tocopyof Correction correction
N 'EP�E2 L�. El attached of letter
Q Deferred Submittal
fkOther A O' rte—. IN95Z.M &
Fc*._ ., ci*IILOI Mrr
Project Street Address:
43614 E\stDE ‘RC-0L-e UN\ ,
(Number) (Street) (Suite#)
Building/Complex Name: Description of Transmittal/List of Changes, Items Attached:
•
Applicant Information ft
(architect, /i contractor,'ow•ner/owner's rep)
Contact Name:amr�•=0 i-�W` C-44`.�Mal
Address:'1'�QF �'OO'� 4() -72— QC�.SO IOr -N LAN �j01LS
JRePegeT
44- 71-is
City ‘$ State: C.-e) Zip:SG44$ ` kg..)aINcA `
Contact Name: R11, AILD CCArkA KI
/ (use additional sheet if necessary)
. j
Contact Phone:(6)' 4 l 4 ' o Building Permits:
Revised ADDITIONAL Valuations (Labor& Materials)
Contact E-Mail: lnawcontrackAre (rat'.CdDO 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 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, International Building and Residential Codes and other Mechanical: $
Xrdiicetstoft ee plicable thereto.
Total: $0
Owner/Owne Representative Signature (Required)
Date Received:
For Office Use Only.
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization #