HomeMy WebLinkAboutB18-0431.001 Transmittal Department of Community Development
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: BI8-0431
f,Revisions (5 Response to Correction Letter _attached copy of correction letter
Si* Deferred Submittal Other
Project Street Address:
3988 Lupine Drive A Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Private Duplex Deferred Submittal- Unforeseen conditions of
I Building/Complex Name:
existing fireplace structure require structural
Applicant Information modifications-stamped structural engineered
(architect,contractor, owner/owner's rep) = letter for modifications attached
Contact Name:
Nedbo Construction
Address: PC Box 3419
City
Vail State: Zip:
CO 81658 (use additional sheet if necessary)
Warren Kruk
Contact Name: ... ...
970-845-1001 Building Permits:
Contact Phone: 'Revised ADDITIONAL Valuations(Labor& Materials)
Contact E-Mail: warren@nedbo.com i(DO NOT include 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: $
proved,International Building and Residential Codes and other
ordinances of the wn a plicable there— Total: $
X
Owner/Owner's Representative Signature(Required) - - _..�..,.___.,_.._.___._ ._.......�...__.�..._ ..m..._............_._
Date Received:
21-Apr-2017