HomeMy WebLinkAboutREV1-Transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL'
Vail,
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: 818-0397
}l:Revisions € 1-Response to Correction Letter attached copy of correction letter
Deferred Submittal *)Other Documentation
Project Street Address:
1044 Homesteak Circle Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: We would like to use safety film instead of replacing the
glazing in the windows near the bathtub in the master
Applicant Information bedroom. I would like to submit specifications of the film
(architect,contractor,owner/owner's rep) to make sure it will meet TOV requirements.
Contact Name: Rhonda Woodruff
Address: Po Box 5055
City Vail State: CO Zip: 81658 (use additional sheet if necessary)
Contact Name: Ondrej Mertlik
6086283684 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
ndre @b CVaII.COm (DO NOT include original valuation)
O
Contact E-Mail: p
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 �idential Codes and other
ordinanc- -aft 1 00)) . thereto. Total: $0
X d' /6
Owner/Ow _ s Representative Signature(Required)
Date Received:
21-Apr-2017