HomeMy WebLinkAboutB18-0080.002 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL a 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'roproject in ProjectDox,when requested.
Application/Permit#(s) information applies to: 7`b 00C<-D
( Revisions 1)-Response to Correction Letter attached copy of correction letter
([Deferred Submittal 11 Other
Project Street Address:
SI \\I OS% , a�� q Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) �, `t6 (Suite#)
Building/Complex Name: O;l p6 "5 ��L \ +\)I Vl2 S
1--CQ, lfl re C/�
Applicant Information CON/al-41
(architect, contractor,oownneer/owner'sr�epp)) '
Contact Name: L CJ�pr C a-V ,
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name:
��1)— 7DC1 D — I n Building Permits:
Contact Phone: I `t' ���n,�Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
)]` •lav '(DO NOT include original valuation)
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 ternational Building and Residential Codes and other
ordin c s of the Town applicable thereto. Total: $
X
Owner/O s Representative Signature(Required)
Date Received:
21-Apr-2017