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HomeMy WebLinkAboutB14-0240_B14-0240 REV2 Transmittal CCD4, 5_1414515300.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 b Response to Correction Letter n attached copy of correction letter o Deferred Submittal (©Other Project Street Address: (Number) (Street) (Suite#) Building/Complex Name: Description of Transmittal/List of Changes, Items Attached: Applicant Information (architect, contractor, owner/owner's rep) Contact Name: Address: City State: Zip: Contact Name: (use additional sheet if necessary) Contact Phone: Building Permits: Revised ADDITIONAL Valuations (Labor&Materials) Contact E-Mail: (DO 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: $ ordinances of the Town applicable thereto. X Total: $ Owner/Owner's Representative Signature(Required) Date Received: For Office Use Only: Fee Paid: Received From: Cash Check# CC: Visa/MC Last 4 CC# exp. date: Authorization #