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HomeMy WebLinkAboutB17-0116.001 Transmittal.pdf Department of Community Development 75 South Frontage Road TOWN OF VAIL' Vail, CO 81657 Tel: 970.479.2139 www.vailgov.com TRANSMITTAL FORM Use this form when submitting additional information,changes&inspection reports for 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. Submit this form only to: cdev_submittal@vailgov.com. Deliver paper plans to Community Develop- ment or upload your revised/corrected plans to the appropriate project in ProjectDox,when requested. Application/Permit#(s)information applies to: \ t"— 0 t1 'Revisions 4 Response to Correction Letter attached copy of correction letter Deferred Submittal (5 Other Project Street Address: 1 eV-k Vv . L CV\CokILO ` G & l t bv)Z Description of Transmittal/List of Changes, Items Attached, Indicate changed plan pages: (Number) (Street) (Suite#) Building/Complex Name: Lq tt \ ` -1/LL Applicant Information (architect,contractor,owner/owner's rep) Contact Name: Address: City JJ State: Zip: (use additional sheet if necessary) Contact Name: c1.A Building Permits: Contact Phone: 1b D V t 4D Revised ADDITIONAL Valuations(Labor&Materials) (DO NOT include original valuation) Contact E-Mai. Y ` ' \ d Building: $ I hereby acknowledge that I have read this application,filled out in full the information required,completed an accurate plot plan, Plumbing: $ 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 Electrical: $ ordinances and state laws,and to build this structure according to the town's zoning and subdivision codes, design review ap- Mechanical: $ pro -• International Building and Residential Codes and other or.'•_i es of th r Town applicable thereto. Total: $ X Owner/e,fner's Repreltative Signature(Required) ___-.__..._....- Date Received: 21-Apr-2017