HomeMy WebLinkAboutB18-0187.001 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.
— C)
Application/Permit#(s) information applies to: I u
Q"jl Revisions Response to Correction Letter _attached copy of correction letter
a) Deferred Submittal '',Other
Project Street Address:
e–G IONS/4 644,6G 1 2_ Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) / (Suite#)
Building/Complex Name: \/A I �C N�7to MLRt ?LACf f 73 '2 1( C-111
6t-
„ t
Applicant Information
(architect,contractor, owner/owner's rep)
Contact Name: I c3ite
Address: VO t-{t 0‘
City F.AC,LE State: CO Zip: "is1� 1 (use additional sheet if necessary)
Contact Name: I t9 MC(c'sft,
Building Permits:
Contact Phone: TIO 751(I` 10`7'a Revised ADDITIONAL Valuations (Labor& Materials)
(DO NOT include original valuation)
Contac -Mail: jj_ ?VV ' ',ç1(7c 3J T f rOiti
140- CO Building: $
I hereby acknowledge that I have rea this applica ion, 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 aicable thereto. Total: $
X
Owner/Owner's Representative Signature(Required)
Date Received:
RECEIVED
wL x2018
Town of Vail
21-Apr-2017