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HomeMy WebLinkAboutE16-0043.001 transmittal.pdf; .;: :; ·~. .; . : : .1·~1 · : ~: . . . .; .. · .. Department 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 reissuance of the permit. , f Ap.?'ii~ii·~~/?~;;it.#(.;)'·1~-i~;~;ti~-~--~·µ·pri~~·-··········· .. ············ .. ·····-.................................................................................................................................................. -................................................................... ~ l to: · Attention: Q Revisions ::: :'.,_i,I £ / (o -D'.J-\~ · 7 {2£N ~ bf b-OOL\ 3, (.) 0 \ g ~~~:~ ~~~o:;~~~~~i!~ Iett~r Q Deferred Submittal ,()Q~er~~~~~~~~~~- t ... _____ , ....................................................................................................... _______________ ................................................... --·············-·····-----························································~·-·············-················-··········································································; Gf~~~~-tS3-~ j (Number} (Street} ! ,., (Suite #} ~ .................................................................................................................................................................................... i I Building/Complex Name: th /F (tx.Jg; lQQ)Nf{o/li? I Description of Transmittal/ List of Changes, Items Attached: I i · ~ c\cL ·~ ~ c . i r=:==~=~~~:~)--------1 ~ b~~ lCon!actN~rre £X1fEAft; ~()i/JfF--! ~. 1 G~[f C~i ·Ll} qJf. l Address: ? 0 . WK I lf02 ~ ~lO'(G ' -_ f l ocn . I . r-rlw.~M~ . It _t)L~-20 f QAAs tum ~ FrKTu?E:"'"' !City~ ~ State.ill_Zip. Q_f~ I J\e-Htt{ £filW.J ?~ 1 Contact Name: f MtlfCD &lriZYW ~ (use additional sheet if necessf!ry) '- l :::: :::: ~?\~J. ({)J,f t~~w.~~;;;;;;;~:~=-~~~~.: 1 i -~ l i l hereby acknowledge that l have read this application, filled out I Building: l in full the information required, completed an accurate plot plan, j ! and state that all the information as required is correct I agree to j Plumbing: t comply with the information and plot plan, to comply with all Town ! · i ordinances and state l~\'{S, and to ild this structure according j Electrical: ; to the town's zoni and subdi ·s· fl codes, design review ap-1 proved, Inter 1onal .. i esidential Codes and other I Mechanical: l xordinances f th thereto. i.' Total·. ~· '---+-->.,~CM;Jl=--:a::....:.;,,,_-:lillbL-----------~ l Owner/Ow !... ................................................................................................................................................................................ ..! ~ ~ ........................................................................................................................................................................................... ...! Date Received: For Office Use Only: Fee Paid: _________________ _ Received From:---------------- Cash _________ Check# _______ _ CC: Visa / MC Last 4 CC # exp. date: ____ _ Authorization# _______________ _ D ~ © ~ n w ~ ~I J~il 1 i 2016 ~J TOWN OF VAIL I