HomeMy WebLinkAboutE17-0185.001 transmittal.pdf Department of Community Development
07) 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: 117 \,--1O
"Revisions (1. Response to Correction Letter attached copy of correction letter
61 Deferred Submittal
Other
Project Street Address:
1-1 L\ .e 1Qx-� ' * GJ--1 Description of Transmittal/List of Changes, Items Attached,
��02 �2J Indicate changed plan pages:
(Number) (Street) (Suite#) nn,, �, 1
Building/Complex Name: 1of�� O ".� ��J
_1 �.t-4 .L Y fit-(r'- Pr`CI e\er c r..
Applicant Information 00,_ ekl ^
(architect, contractor,owner/owner's rep) CSN C,\A"1.(a(15 (Avl SC.GA/Q(Cr?
Contact Name: C Z-- Q __ Q V\I\ ,� �- Sr
Address: RO.-o \II tc e. K v•-Q—v•-Q— ( 4 CAOIS,
City State: Zip: (use additional sheet if necessary) 3
Contact Name:
(� Building Permits:
Contact Phone: COD 0 .-1--1 (p Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail:CDQ, � �PDC'\AS .' Cyv\
Building: $ ,SOoo
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: $ 151 OZTD
ordinances and state laws, and to build this structure according 2
to the town's zoning and subdivision codes, design review op- Mechanical: $ 51 Div)
proved International Building and Residential Codes and other /�
ordi an.es •f the Town applicable thereto. Total: $ —I JI60P
/ , L...---'--
Owner/S er Represelitative Signature(Required)
Date Received:
21-Apr-2017