HomeMy WebLinkAboutB16-0473.001 transmittal.pdfTOWlllJf~ 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 re issuance of the permit.
Application/Permit #(s) information applies
to: Attention: O Revisions
. 'blb,.__01.f/3.
Project Street Address: "A
I 7 I Y ·13 u Ffts11 /Z_ CA?er5!).. !2~_._U_· __
(Number) (Street) (Suite#)
. Building/Complex Name:--------------
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: $0l._,,A£.,LS. VA! L
Address:------------------
City _________ State: Zip:-----
Contact Name: ..... :JS .... ·~f?__c~( ftrJ ........... __.@\J,___\_t0'.C_1
_6{(_· ._L--____ _
O Response to Correction Letter
D_attached copy of correction letter 0 Deferred Submittal
QOther __________ _
Description of Transmittal/ List of Changes, Items Attached:
Glg~ frti3"14 -5ct<Jc-fut1tL
'f28J IS I oyJ · •
(use additional sheet if necessary)
3°!0 -Cbl.{t0 . Contact Phone:---------~-! ________ . Building Permits:
I Revised ADDITIONAL Valuations (Labor & Materials)
' (DO NOT include original valuation)
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 Residential Codes and other
ordinances of the Town applicable thereto.
X. _______________ ~
Owner/Owner's Representative Signature (Required)
For Office Use Only:
Fee Paid:-------------------
Received From:-----------------
Cash---------Check#--------
CC: Visa I MC Last 4 CC # exp. date: ____ _
Authorization#-----------------
. Building: $
'Plumbing: $
• Electrical: $
Mechanical: $
·Total: $0
Date Received: