HomeMy WebLinkAboutB16-0491 REV3 Transmittal.pdf Department of Community Development
75 South Frontage Road
OTOWN O F ,,u i 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: —PO) DA 01
ni Revisions (L 1'Response to Correction Letter _attached copy of correction letter
41 Deferred Submittal (Other "Drat. n `f7 r S,c &t 6 I a v-'
4eerz.`
Project Street Address:
303 CPrA_ C rt._. Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: 41-VCateS .Q 1'l Nuv- r dpi c rRoc
d r&i i tSchary_ 01C 1(
1
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: 1300-4 A SSG L..
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name: SGt✓�
Building Permits:
Contact Phone: -17D 5 Le 33 5 Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail:
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,International Building and Residential Codes and other
ors nance e th- Town applicable thereto. Total: $
Owner/o A •� -pr :entati ev Signature(Required)
Date Received:
21-Apr-2017