HomeMy WebLinkAboutB17-0214.001 transmittal.pdf - _
Department of Community v
75 South FrontageDeelopment Road
TOWN F UAIL"' TVail, CO 81657
el: 970A79.2139
www.vailgov,com
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TRANSMITTAL FORM
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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.
cic'
Application/Permit#(s)information applies to: •
( ) Revisions ( ) Response to Correction Letter attached copy of correction letter
I( ) Deferred Submittal ( ) Other
Project Street Address:
I Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#) •
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Building/Complex Name: MU R- .11)(3$2-a) (--ef C -
Applicant Information
(architect,contractor,owner/owner's rep) ##
Contact Name: FA-7 Ill L/� £,4-14
Address:
,City State: Zip:
(use additional sheet if necessary)
Contact Name:
—7 ` 0 —y )- I Building Permits: ( )
Contact Phone: v l c 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: $ j
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Owner/Owner's Representative Signature (Required)
Date Received:
1 44( g
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21-Apr-2017