HomeMy WebLinkAboutE17-0056.001 Transmittal.pdf 1
Department of Community Development
r 4 w
75 South Frontage Road
=.s Vail, CO 81657
TOWN O VAIL' 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.
a _
Ap ication/Permit#(s)information applies to: I O()5
Revisions or5 Response to Correction Letter attached copy of correction letter
n Deferred Submittal Other
Project Street Address:
� -
tCeefr 1 Description of Transmittal/List of Changes, Items Attached,
l
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: V'�S - cLr-
(0 c_ ei.P_S
Applicant Information /.Pi'ke. t -t--
a�u
(architect,contractor,owner/owner's rep)
Contact Name: 'C: 141. C--
Address: 1 L C-1
Cit State: Zip: (� (use additional sheet if necessary)
t
Y �� e
0 p �'C
Contact Name: Wa.,Le.
® Building Permits:
Contact Phone:'7 37-&-103 2-- 4q2(0 Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: -a 1�S ba,/...vvezt r 0
(DO NOT include original valuation)
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: $
proved,I ernational Building and Residential Codes and other
or Man,-s of the Town plica e t reto. Total: $
dor
• er/Ow -i's Representative Signature(Required)
Date Received:
21-Apr-2017