HomeMy WebLinkAboutB16-0491.002 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF 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: lb)LO 0 t4
fl Revisions Response to Correction Letter _attached copy of correction letter
Deferred Submittal M,Other t±\ (f(1 -\--b i c_0 -...)
Project Street Address:
3Q D Indicate changed plan pages:
(Number) (Street) , 401.)(21
, (Suite#)
Building/Complex Name: NU VN.) 01.)S(A V‘ (tv-\ Q-( —C(A)(463-1N lM 1A-Q_
v((
Applicant Information 13 r)8/+{1 `' �4� l
(architect,contractor,owner/owner's rep)
Contact Name:
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name:
Building Permits:
2 _._
Contact Phone: J S O S-1-11--P Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail: A.V Sri .,
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 temational Building and Residential Codes and other
ord'-.nc-s of the Town applicable thereto. Total: $
X
Owner/OR's epre t.tive Signature(Required)
Date Received:
21-Apr-2017