HomeMy WebLinkAboutB18-0168_B18-0168.001 transmittal_1529701484.pdf 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: 6 •
1( ) Revisions ( ) Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal ( ) Other
Project Street Address: ' 7
i ,a w ��F c r_ 4 ! Description of Transmittal/List of Changes, Items Attached, 1
Indicate changed plan pages:
i
(Number) (Street) (Suite#) j
Building/Complex Name: Q t.O'SST t / c-/---/Ac;GG P/ '
i •D 0-7= -7 ED -z_
i Applicant Information
(architect,contractor,owner/owner's rep) 6-U S r2 z � int- �� 1
Contact Narm�e: d L' i` /l ,i` S/A/14/-7l F€62047 &/c7/,2 j
('
'Address: !/) 13 e.)?( 7 7 r/> pre "j0 ems'Si ire? -0%Q i'�-.i i_
City U/' 1 ( State: U zip:W/7 - fuse additional sheet if necessary) 1
.Contact Name:,:i...) 1 - Mi /' !/rte
Building Permits: 1
Contact Phone: q.-7 0 3'GJ q 7?U Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: L U C(A) 0 r` / -. itts/ , Ce4V.
(DO NOT include original valuation)
Building: $ 1
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
prove. nternational Building a . Residential Codes and other
ordin. es of the Town applic-%ale thereto. Total: $ j
X - - /�
• . .: : . .: Representative Signature(Required) I -------._....----------
i Date Received: