HomeMy WebLinkAboutB17-0081.002 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: &17 000.
1' Revisions (1 Response to Correction Letter _attached copy of correction letter
(5 Deferred Submittal IT Other
Project Street Address:
35 q 5 eCAU e — 6 G.V+1 Kcol, Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: Ao1o1 Ia' t 1efR:lns Iv t Jo I 1 0
ea,-7-t- S;ok. dr-S- gOLr P
Applicant Information 4-e� coAc,rcfe s�"C S <� ✓(cic fer"
(architect,contractor,owner/owner's rep) IUCc,.146YY\ Clede
Contact Name: C;,t`I 1I-`14,tsewer"1(1
Address: 2:7 teINA Sir-e e--1-
city
-+City EoI v/ovro{' State: CA Zip: 70 61,Z (use additional sheet if necessary)
Contact Name: C'itV`i fr J¢ rw
Pt, 1y\
JJ Building Permits:
Contact Phone: C 76 yqS — "767 g Revised ADDITIONAL Valuations(Labor&Materials)
It-CO Vin NOT include original valuation)
Contact E-Mail: CamI @ (.41- b ,
Building: $ Old
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,International Building and Residential Codes and other
ordinances of the own applicable thereto. Total: $ Sc71• '
Owner/Owner's Repr ative Signature(Required)
Date Received:
21-Apr-2017