HomeMy WebLinkAboutRev 1 Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL ''0
F 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: BI7-0356
R Revisions (5 Response to Correction Letter _attached copy of correction letter
I )Deferred Submittal (Other
Project Street Address:
963 Lions Ridge Loop Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: Breakaway West 500 Building Revised structural details related to window
header changes at unit 515 and 525
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Nedbo Construction
Address: PO Box 3419
City State: Zip:
Vail CO 81658 (use additional sheet if necessary)
Contact Name: Warren Krok
970-845-1001 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
nedbO.COm (DO NOT include original valuation)
warren@nedbo.com
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,Internional Building and Residential Codes and other
ordinance o, the T� applicab -th to. Total: $0
X ''''V n.v I
Owner/Owner's Representative Signature(Required)
Date Received:
21-Apr-2017