HomeMy WebLinkAboutB18-0026.001 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN �� IIA�L` 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:
( ) Revisions ( ) Response to Correction Letter _attached copy of correction letter
( ) Deferred Submittal ( )Other
Project Street Address:
'"- lr � ��C�G9 Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: ' /T�( )1 NG` ,c)►M t b(R ?�
- 1
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: La a
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name: __ —— _ — ---_---_ ___-----
/ Building Permits:
I "
Contact Phone: 2 636 1 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: $ i
proved, International Building and Residential Codes and other
ordinances of the Town applicable thereto. Total: $
X
Owner/Owner's Representative Signature(Required) —.•---_---_.__-------___
Date Received:
• I
( 6C) 6
( pivx,c- CITO
0--S 21-Apr-2017