Loading...
HomeMy WebLinkAboutB15-0159 REV1 transmittal.pdfDepartment 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: (')Revisions \~ls~ 015°1 ~1-.. Project Street Address: "\, 4~ 2 i..f \\\Ef\hl tAJ i.x (Number) (Street) (Suite#) Building/Complex Name0M ber fAd s Cl)'{\6v '6ti4....u er Applicant Information (architect, contractor, owner/owner's rep) Contact NameTiVVl Bt-ie.-PA lls G)NM A5soc_ f~tr.iITI to\N\. #.S.CA~-rl--/lj PL2eslt>e11T Address: 4-S--Z 4 tMt:=ALl[Jw :L>r ~ 'tcJ? ' b r I City VA ( L. State: Cc) Zip:~ __ (_:.:> __ _ Contact Name: lo v1A YlA.5 C' A e. TH l( Contact Phone: q 7 6 · "?, '1r () .-q ( b 7 Contact E-Mail: T ('(\ C ?f-( tJ ,X @ AOL · {JVl;\ I hereby acknowledge that I have read this application, filled 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 Reside · I Codes and other ordinance~,e Town applicab there X /!){(;\ VU Cft Ct For Office Use Only: Fee Paid:------------------ Received From:---------------- Cash _________ Check# _______ _ CC: Visa / MC Last 4 CC # exp. date: ____ _ Authorization# _______________ _ O Response to Correction Letter .D_attached copy of correction letter 0 Deferred Submittal ()Qfher __________ _ Description of Transmittal/ List of Changes, Items Attached: Zf\.b{j\0-"t \ ~CK 6~ 2 4 -n:rtAi ~cKS (use additional sheet if necess~ry) Building Permits: Revised ADDITIONAL Valuations (Labor & Materials) (DO NOT include original valuation) Building: $ ·1 7 ao , ea Plumbing: $ Electrical: $ Mechanical: $ Total: $0 \ 79<).oo Date Receive;.:d:.:=-~::--~-::::::-::~-;;--:=;-;:~ ~©~~w~ n JUN 19 2015 LJ TOWN OF VAIL