HomeMy WebLinkAboutB16-0490.002 Transmittal.pdf 044#41* 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: .Revisions
0—f (�Response to Correction Letter
(2 V ; (?YJ 1✓ I - 1 D EI attached copy of correction letter
Q Deferred Submittal
40 Other
•
Project Street Address:
3o3 Flar-e_ av -W --
(Number) (Street) (Suite#)
Building/Complex Name: W Description of Transmittal/List of Changes, Items Attached: 1
13‘)ev6,5 4 G-wcL.. P1C
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: 5 RE
Address:
City State: Zip:
Contact Name: 5LtYGl/I"- (use°170 additional sheet if necessary)
,1 Co 3505 - --. _.._. ,_•..
Contact Phone: Building Permits.
�' l �+,,�- Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: YUN1' / e7) 1 1O m ► \ (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-
prove d International Building and Residential Codes and other Mechanical: $
ord" a ces o the Town applicable ther to.
X Total: $0 -E
Owner/O ep -sentative Signature(Required)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#