HomeMy WebLinkAboutB17-0236.002 Transmittal.pdf Department of Community Development
TOWN OF VAIL ' 75 South Frontage Road
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 : � �" -a- 0 pa. 2 6• 1
a evisions �1 Response to Correction Letter attached copy of correction letter
n Deferred Submittal (1: ) Other
Project Street ddres
"�S "� �- � �--�cA3/4-6k � 4 ODA- 4\-- Description of Transmittal/ List of Changes , Items Attached ,
Indicate changed plan pages :
( Number) ( Street) ( Suite #)
Building/Complex Name : ` � �` `n \33 CA ` ; Ccct
-erirev‘d\ LeCket\ 0\CCOLN
Applicant Information
( architect , contractor , owner/owner' s re )
Contact Name : O-33, 6-c-0.
Address : � �� 7? * \ � " \ ekThr
:\ State : CU
ZiP . ZAteAnce+ ( use additional sheet if necessary)
Cy �C�
Contact Name : D_7( \ \ Act,- ea-
Building Permits :
Contact Phone : SA6H Revised ADDITIONAL Valuations (Labor & Materials )
SN\ ( DO NOT include original valuation )
Contact E- Mail : � 6cu.- Q � 611ThCs\A ` , �t
Building : $ c) C5Cro - �
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 Total : �
ordinance • f the TP. � n applicable thereto .
X
Owner/Owner' s a - pres - tative Signature ( Required )
Date Received :
1 - Apr-201. 7