HomeMy WebLinkAboutB18-0043.003 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF V►4lL ■ 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:
(*) Revisions (5 Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal n Other
Project Street Address:
1290 Westhaven Circle Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: Broe Group
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: RA Nelson
Address:
City Avon State: CO Zip: 81620 (use additional sheet if necessary)
Contact Name: Dan Muller
970-331-4874 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
;air: (DO NOT include original valuation)
eattiNtefuelsorntegol
Contact E-Mail:
Building: $ 43,541.02
I hereby acknowledge that I have read this application,filled out
in full the information required,completed an accurate plot plan, Plumbing: $0
and state that all the information as required is correct. I agree to 10,718.98
comply with the information and plot plan, to comply with all Town Electrical: $
ordinances and state laws, and to build this structure according 5,740.00
to the town's zoning and subdivision codes, design review ap- Mechanical: $
proved, International Building and Residential Codes and other 60,000
ordinances of the Town applicable thereto. Total: $
X
Owner/Owner's Representative Signature(Required)
Digitally signed by Daniel
Muller Date Received:
DN: C=US,
Daniel Muller CN= an
E=dmulleirD@Iranelson.com,
iel Muller
Date:2018.08.17
14:29:46-06'00'
21-Apr-2017