HomeMy WebLinkAboutB18-0144.002 transmittal #2.pdf Department of Community Development
75 South Frontage Road
TOWN O FVAl l 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$110 will be charged upon reissuance of the permit.
Submit this form only to: cdev_submittal@vailgov.com. Deliver paper plans to Community Develop-
ment or upload your revised/corrected�ppl7lans to the appropriate project in ProjectDox,when requested.
Application/Permit#(s)information applies to: 1 '/k " ')-9
,31
(Revisions (�)Response to Correction Letter _attached copy of correction letter
Deferred Submittal Other
Project Street Address: '
2 ' 70 e e
D /Leo vw.7-T�r..4./ 1e - lej Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) #)
(Street)
(Suite
vil 0 4 eiced 4FVi . s
Building/Complex Name: t � � �" 13 /972-CM 7�£Ur
Zi it"- G"yl i'Dt� ' /r✓GG ��r,+vq �i�z2/1 QST ,L
Applicant Information Cc ,tlAiL„C efid 6 •
(architect,contractor,owner/owner's rep)
Contact Name: ( 6r, b0 No/2-a!ks thia
Address: ) % 14 G1-rA-tea$<�S Ii--Ah
City L 6- State: e c) Zip: '
/L., f (use additional sheet if necessary)
Contact Name: Poe/ 1 eis/ ',w f 1/04-f"-
�j Building Permits:
Contact Phone: / n �
37 ( 7 7-0 Revised ADDITIONAL Valuations(Labor&Materials)
e � (DO NOT include original valuation)
Contact E-Mail: -t" 6v g"fry v.> /GYs•!,-7y
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 -II the information as required is correct. I agree to
comply wits e information and plot plan,to comply with all Town Electrical: $
ordinan an. stat: ., s, and to build this structure according
to th- -wn's zi in. - . .ubdivision codes, design review ap- Mechanical: $
pr•-e•, 1 e ..1, din. and Residential Codes and other
X .dinah,,-fi •� ` a•• able thereto. '�_ Total: $
Owner/Owner's Representative Signature(Required)
Date Received:
21-Apr-2017