HomeMy WebLinkAbouttransmittal_3.pdf Department of Community Development
�+ 75 South Frontage Road
TOWN OI VAIL L. ail, CO 81657
Tele. 970A79.2139
www.vaitgov.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: Ef 7
I( ) Revisions ( ) Response to Correction Letter _attached copy of correction letter
( ) Deferred Submittal ( ) Other
j Project Street Address:
S(U G V'CC —4' 7 — Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: !� Afth- C K ,ti q K S
Applicant Information
(architect,contractor,owner/owner's rep) _
Contact Name:
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name:
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: $
proved, In national Building and Residential Codes and other
ordin ces f the Town applicable thereto. Total: $
Owner/Owner's Representative Signature(Required)
Date Received:
RECEIVED
NOV 0 3 2017
Town of Vail
21-Apr-2017