HomeMy WebLinkAboutF17-0036.001_transmittal.pdf Department of Community Development
75 South Frontage Road
Vail,CO 81657
TOWN QF VAIL' Tel: 970.479.2139
www.vallgov.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: F17-0036
°Revisions 0 Response to Correction Letter _attached copy of correction letter
Deferred Submittal 4 Other
Project Street Address:
180 South Frontage Road Description of Transmittal/List of Changes,Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
BulldinglComplex Name: Vail Valley Medical Center Additional scope added to project under ASI#001
Added Work Area"E",535 Sq.ft.of renovation area
j Applicant information Area E is located in Center Wing,2nd Floor
(architect,contractor,owner/owner's rep) , Impact to Frontier:
Contact Name: Frontier Fire (5)temporary uprights after ceiling demo.
Address: 2617 W Holden Place (6)new pendents after new ceiling installation
City Denver State: CO Zip: 80204 (use additional sheet If necessary)
Contact Name: Kevin Murray = _
303-629 0221 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
kmurray@frontierfireprotection.com (DO NOT include original valuation)
Building: $ 3,450.00
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,inte ational Buil 'ng and Residential Codes and other
ordinan e f the Town 'pp licrapieipafbto. Total: $
X _ x
Owner/Owner's Representative Signature(Re ' ) - - -. - -- ---
Date Received:
1
21-Apr-2017