HomeMy WebLinkAboutB17-0320_B17-0320.001 transmittal_1505841180.pdf Or,
TOWN OF VAIL ' Department of Community Development
75 South Frontage Road
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 wit 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: 6 k-7 0 310
KRevisions FICResponse to Correction Letter attached copy of correction letter
ri Deferred Submittal (Ti Other
Project Street Address:
01 I\ Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: 0 IS's . 1
\ialLoAal Pj(), - Ltd C e- LC
kick-e_t__ , a.
avvincleci kon:Ay., 5 t.' 199 j-..5 cjvi
Applicant Information aeo\
(architect,contractor,owner/owner's rep)
Contact Name: 'Zf‘o.1/\ 7--44t5
. Address: C.C.; , .....;0"; )7)43
CitytA State: L.0 Zip: i t —
42(7 6 (use additional sheet if necessary)
Contact Name:
Building Permits:
Contact Phone: Ci70 10 Lt 59....c Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
za ,,,, f-,\
i 5 Q0:t) C...6 vrie-6:51',incl.— (DO NOT include original valuation)
Building: $ If 9 7
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,International Building and Residential Codes and other
orcjjces of thirppicabIe thereto. Total: $
X ./4A1.441
Owner/Owners Representative Signature (Required)
Date Received:
J 21-Apr-2017