HomeMy WebLinkAbout201803231403.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: ?)
Revisions (E3 Response to Correction Letter _attached copy of correction letter
(Deferred Submittal (Other
Project Street Address:
h -1 610f't U-2.Q.X_ 1)(L. 35-i Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) / (Suite#)
Building/Complex Name: LOGIIl �-�1VQ.4 I
1� teaGi_e. fvL ►�] o
Applicant Information tsed ()
(architect,contractor,owner/owner's rep) Vim.. ((---> . C 1�,���
Contact Name: 5 `
Address:
City State: Zip:
S . (use additional sheet if necessary)
Contact Name: ,A,
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,International Building and Residential Codes and other
ordinances of the Town applicable thereto. Total: $
X IlikA
Owne f f er' Representative Signature(Required)
Date Received:
21-Apr-2017