HomeMy WebLinkAboutB17-0129.003_transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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: I
7 — 6179Revisions I 1 Response to Correction Letter _attached copy of correction letter
ri Deferred Submittal Other
Project Street Address:
, ii Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) Suite#) `f
Building/Complex Name: . 0.11A–IL l4�! I�j1 UV1
1 Od
Cr UCS In t dI l ._s
Applicant Information 1i 1LQ1Ut–tC >
(architect, contractor,owner/owner's rep)
Tyner/owner's
Contact Name: a �
Address:
(use additional sheet if necessary)
City ,q, State: Zip:
Contact Name: '.�n��-
lJV Building Permits:
Contact Phone: 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: $ r
prover, nternational Building and Residential Codes and other C
ordi,anc-s of the Town applicable thereto. Total: $
X A7 Alk _
Owner/Own•r' R_::}-sentative Signature(Required)
Date Received:
21-Apr-2017