HomeMy WebLinkAboutB18-0106.001 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.
Application/Permit#(s)information applies to: / — 0/0 b
Revisions 0 Response to Correction Letter attached copy of correction letter
0 Deferred Submittal 0 Other
Pro'ect Street Address: nn�
�� ��,G7 ? tx
Description of Transmittal/List of Changes, Items Attached.
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: 51Li/4// Agill-
litqA/
016/n6v We, Gov v, -ems/
Applicant Information
(architect,contra_ ctor,^owner/owner's rep)
Contact Name: )76c £ OP-
Address:: ;O)( 4932--
City
932—
City PV/2----- Stater Zip:garo3 (use additional sheet if necessary)
Contact Name:
(V0)
0 OE Revised PDrmits:
Contact Phone: / `� � nRevised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: C{f'jG�f jam epi <�? G� I (DO NOT include original valuation)
C. �{7?R( e cif,4--1
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 sub•ivision odes, design review ap- Mechanical: $
proved,International Buil.'r a.: •esidential Codes and other
ordinances of the Town .1� able thereto. Total: $
X
Owner/Owner's Repr=!/-ntative Signature(Required)
Date Received:
21-Apr-2017