HomeMy WebLinkAboutB18-0090.001 transmittal.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN CFI) Tel: 974 479.21139
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: j —004,0f,tpl ~'0 00
Revisions G..?.Response to Correction Letter _attached copy oT correction letter
( j Deferred Submittal fn Other
Project Street Address:
270'1- tp4VS Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: - i t :f2 S Ve1U v
cxtimukie, 4iiti Nto fr4341Stip
Applicant Information COLAI►A�f {� •� � �y I N F —
(architect,contractor,owner/owner's ��++��iire(p) < Jc , /4614[ t, Is —0 3.k,
Contact Name: '1 • eNI N ik-Pc- ► j IZf}J•' �� k U
Address: 1 ??
O `7t
City State: Zip: RA (use additional sheet if necessary)
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Contact Name: 6-1-1-t pp 1 ccvAJb i
T7 �7 Building Permits:
0 Contact Phone: 7Q 7 a� (pG Revised ADDITIONAL Valuations(Labor&Materials)
• Q�NOT include original valuation)
Contact E-Mail: AA {K v4 i4QrG�t-f[G� {citre.Gd W1
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 Re-'dential Codes and other
Xordinances of he own applicable the -to. Total: $
rad I
OwnerlOw -r's Re* esentative Signatu e(Required)
Date Received:
2 1-Apr-20 17