HomeMy WebLinkAboutB18-0225.001 transmittal.pdf vepartment of Community Development
cl i 75 South Frontage Road
TOWN OF V'A j j' Vail,CO 81657
Tel: 970479.2139
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 vailrtov 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: ei - 0 z,25--
N
Z "
Revisions ( )Response to Correction Letter attached copy of correction letter •
( )Deferred Submittal { )Other .
j _ ....Project Street Address:..,.. ,,. ... .., ,. . ,-, . .._, ._ _.. . ._. „.....,, . s.„.....,.„._,..... ,
I l3 6pre e j- , D�,, 15°' Description of Transmittal!List of Changes,Items Attached,
I(Number) (Street) Ir��icats changed plan pages:
(Suite#} 1/7441,4 t1 'l.
I Building/Complex Name: Vail 7--t-a11S i A4rik gODYn 77 be hedropins
_.. . , .� .,�. .,� , 15`� r moved wag .
-- . . .v. .-.._,. tai
Applicant!n#ormation heintriim alatetY i Wert wady
I(architect,contractor,owner/owner's rep) ale,/ b „j J J-
I Contact Name: Me,tiCa--a- j�a irj e A- new S t—val
' 2 6 /7 e H It's.`uc
Address: _
i
1 City Den V?-Y State: £o Zip: 80203 (use additional sheet if necessary)
Contact Name: Cf S fn s ._
. Building.Permits:
Contact Phone: 30 3 - 365 -24140 •Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail: ei/c S r /a mak•t' ,, _,<
Building:
I hereby acknowledge that I have read this application,filled out \O(9cr
in full the information required,completed an accurate plot plan, Plumbing:
and state that all the information as required is correct. I agree to pcX a, $
• comply with the information and plot plan,to comply with all Town Electrical: Ly
ordinances and state laws,and to build this structure according -
1 to the town's zoning and subdivision codes,design review ap- Mechanical: f,---°, i
• proved,International Building and Residential Codes and other C �� a'
i ordina ces of the Town .pplicable thereto. Total: �y`�
�a yy 1 �c` fl
'Owner/Owner's Representative Signature(Required) 1----,_.. 4.----..-----
I Date Received:
C.
j \011' c-st
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21-Apr-2017