HomeMy WebLinkAboutF18-0051.001 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL IL 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:_. , i` V CO 5 ',_
*evisions (5 Response to Correction Letter _attached copy of correction letter
(T Deferred Submittal (5 Other
P o' Utreet"Address:.
r\C.(.Cc `/(--J Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#) -
Building/Complex Name �1 nam_...1�� ( _j 1 --)c ( / � '_
v
Applicant Information * `1 f+-tt; --i-0
{ 3 u(A-
(architect,
�
(architect,con `ctor,owner/owner's rep) '� 1 VL,( t ' li ` V WI
Contact�`a-��,�/e: 1 S Mod. �, (` 5:1 yv, . l:(,y 5�`
Address: ` /U` J��0 '^-�
City! 1 V V T `\ State:6(...) Zip:(ct LO CXJ (use additional sheet if necessary)
Contact Name: l`��U1lA S
' Building Permits:
Contact Phone: ��6� go- Gr2,0 Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
(d �� r Y � ,pi. N \nclude original valuation)
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: J
p?.ved, International Building and Residential Codes and other
ordi es of the Townppplicable thereto Total: $
X os* NO (NA
Owner/Owner's Representative Signature(Required)
Date Received:
21-Apr-2017