HomeMy WebLinkAboutB18-0080_B18-0080.001 transmittal_1531177035.pdf ° ' . Department of Community Development
75 South Frontage Road
TOWN Of VAIL i 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: ��1 CO r J
Revisions )Response to Correction Letter attached copy of correction letter
(! 1 Deferred Submittal O Other
Project Street Address:
/51 V i 12�e_ / I Description of Transmittal/List of Changes, Items Attached,
! Indicate changed plan pages:
(Number) (Street) L(Suite#) /
Building/Complex Name: (ihr,(,I-e-7'r s a 4- kr/at ,R,'e y l5 4 �hv c/wai ?ai es
Q+A/a • 1 S 5 f s Lo .
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: v►�- '
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name: 51aret
Building Permits:
Contact Phone: X170 .3 50 5 7 La Revised ADDITIONAL Valuations(Labor&Materials)
�" (DO NOT include original valuation)
Contact E-Mail: VOA BO()5. U1111.-Th
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: $
prov , nternational Building and Residential Codes and other
ord' a ces f the Town applicable thereto. Total: $
X
Owner/O er s Representative Signature(Required)
Date Received:
21-Apr-2017