HomeMy WebLinkAboutB16-0267 REV4 Transmittal.pdfTOWN OF~
Department of Community Development
75 South Frontage Road
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 buildin!-J review
fee of $11 O will be charged upon rcissuance of the permit.
Submit this form only to: cdev_submittal@vallgov.com. Deliver paper plans to Community Develop-
ment or upfoad your revised/corrected plans to the appropriate project in ProjectDox, when requested.
Application/Permit #(s) information applies to: _B_1_6_-_0_2_6_7 ________ _
( *) Revisions ) Response to Correction Letter _attached copy of correction Jettar
( l Deferred Submittal ) Other ____________ _
Project Street Address:
44 Vail Road 3 ~-=-------~---
(Number) (Street) (Suite#)
Building/Complex Name: _W_ill_o_w_P_l_a_c_e ______ _
Applicant Information
(architect, contractor, ownerfowner's rep)
Contact Name: Hayden Horsford
Address: 303 AABC, Suit J
city Aspen State:CQ _Zip:81611
Contact Name: Hayden Horsford
Contact Phone: 9706181191
contact E-Mail: hhorsford@silichconstruction.com
l hereby acknowledge that I have read this applicatmn, filled out
in full the information required, completed an accurate plot plan,
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
ordinances and state laws, and to build this structure according
to the town's zoning and subd1vis1on codes, design review ap-
proved, lnlemat1onal Building and Residential Codes and other
xrdi";;g.;;J Town applicable therelo.
Owner/Owner's Representative Signature (Required)
Desr..ription of Transm1ltal/ Lisi of Changes, Items Attached,
Indicate changed plan pages:
Add window well in basement
Modify massage room entry
------------------(use add1t1onal sheet 1f necessal)')
Building Permits:
Revised ADDITIONAL Valuations (Labor & Materials)
(DO NOT include original valuation)
Building: $ 25000
Plumbing: $
Electrical: $
Mechanical: $
Total: $25000
Date Received:
21-Apr-2017