HomeMy WebLinkAboutB18-0018.001 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:itittiV4-eV11 -Uv 1
evisions ( )Response to Correction Letter attached copy of correction letter
O Deferred Submittal ( ) Other
Project Street Address:
f�31 /libtoack) Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: /IEp ti{£ S J -3,D o 1- /fili 00
Applicant Information
(architect, contra�cto_r�,,oowner/owner's rep)
Contact Name: ,156 /4-wie�Splo
Address: 7`f7 5. fil9 ST
City Oe/t/7 t/tii/! State: t(2 Zip: (use additional sheet if necessary)
Contact Name: /*a 7Znty
Building Permits:
Contact Phone: 7/9" 9 3 -5 73 3 Revised ADDITIONAL Valuations (Labor&Materials)
`��! c ' (DO NOT include original valuation)
Contact E-Mail: (� �/90 v�6f "vG'�Pf[£5S .(O/-1
Building: $ .01
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 't
OwneiT wner's a iYeSignature(Required)
Date Received:
RECEIVED
MAY u2 2018
Town of Vail
21-Apr-2017