HomeMy WebLinkAboutB18-0168.002 transmittal.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN OF VARA 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: 5 ) g,.
( Revisions ( ) Response to Correction Letter attached copy of correction letter
O Deferred Submittal ( )Other
Project Street Address:
Z / tIST C/4 Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) #7105 (Suite#)
Building/Complex Name: cY7_ /2cs 1D 'E 1/-O o/c-
/71/Pfr1714.1
/ff/Pi1ja1 V Cf/`4 5C' ftc,776.(/
Applicant Information (A)/L L B -
(architect, contractor, owner/owner's rep) S L),otu L
Contact Name: A ; �) � Uig $7/ UGTU2,-1 L L Z-Wi f-.�/ ` z
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Address: q(/7 0
City (/,; � State: G,'-; Zip: T'> �
�/ S^� (use additional sheet if necessary)
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Contact Name:
Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail:
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 .nd Residential Codes and other
ordina es of the Town app ' ;He thereto. Total: $
X la,.
Owner/owner's Representativ•'Signature(Required)
Date Received:
21-Apr-2017