HomeMy WebLinkAboutB18-0254.001 transmittal.pdf Department of Community Development
75 South Frontage Road
UAIL $ Vail,CO 81657
TOWN OF
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 t • cdev submittal@vailgov.com)Deliver paper plans to Community Develop-
ment or upload your revised c rrec a p ans to e a opnate project in ProjectDox,when requested.
Application/Permit#(s)information applies to: ' 1 g ----C -
r Revisions 0 Response to Correction Letter _attached copy of correction letter
dJ Deferred Submittal 0 Other
Pro ect Street Address:
(7 C� T'�nv� Description of Transmittal/List of Changes, Items Attached,
11 P" fr/ Indicate changed plan pages:
(Number) ( tniret) (Suite#)
Building/Complex Name: _^1-1(14/(A-14 rtt,i dLctf~tj es 0La.e
obs c o-r-� DI bay(
I Applicant InformationC-0/17tC-biale- i r1/11i
(architect,contractor,owner/owner's rep)_ G(n-,,s ,(T1Q0-1'Contact Name: DeAt S `i_O^_id cc,
Address: 7417 Als pr. I
City 4r vv( ( State: W Zip: sI05-7 (use additional sheet if necessary)
Contact Name:
Building Permits:
Contact Phone: - // 3,0/41.1H Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: dj 1(i',G1✓tL 51 @% I. Cpjy (DO NOT include original valuation)
Building: $ ,ft.
I hereby acknowledge that I have read this application,filled out 1111in full the information required,completed an accurate plot plan, Plumbing: $
and state that all the information as required is correct. I agree to 1'
J
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: $
• ••:•,International Build'ng and Residential Codes and other
ordina es of the,Tow� livable th reto. Total: $
Owner/Owner's Representative Signature(Req .red)
Orate Received:
s
21-Apr-2017