HomeMy WebLinkAboutB17-0421 B17-0422 transmittal.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN OF VAIL
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 budding permits. A two hour minimum building review
fee of$110 will be charged upon reissuance of the permit.
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Submit this form only to s � gbv:cortt'.uetvvr4
� aper plans to Community Develop-
ment or upload your revis-• corrected plans to the appropriate project in ProjectDox,when requested.
Application/Permit#(s) information applies to: 51-7 092--I ÷
XRevisions lE ) Response to Correction Letter _attached copy of correction letter
ri••,Deferred Submittal (r)'',Other
Project Street Address:
41273 Cv1t.v-•' -*-e_ Description of Transmittal/List of Changes, Items Attached,
Indicate changed Ian pages:
(Number) (Street) (Suite#) S 1 � 5 / C, . to / S{ 7
Building/Complex Name: 11;-710,----) f,00-C t=rte.--;.-c o-t1 look— C. • }e
To )Y LU4 TZ"
Applicant Information
(architect,contractor, owner/owner's rep)
Contact Name: 7^r-e0(
k�'+�/c.�-5►��
Address: P o 0.x by 3
City AQvN State: Co Zip: (L Z°
(use additional sheet if necessary)
Contact Name: " T -.e'( ke/r .>51C.
Building Permits:
Contact Phone: 1-7D` !D✓(13`1 r Revised ADDITIONAL Valuations(Labor& Materials)
C
Contact E-Mail: `vl TA 'l Or Acw-ne 5 e pat-x (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, International Building and Residential Codes and other
ordin ces of thy/Xr applicable thereto. Total: $
Owner/ wner's Representative Signature (Required)
Date Received: el /10
21-Apr-2017