HomeMy WebLinkAboutTransmittal_18.pdf s,.
Department of Community Development
75 South Frontage Road
Vail, 81657
TOWN OF VAIL 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: F /9 ----0/‘g
(7Stevisions ( ) Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal ( ) Other
Project Street Address:
23C Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: v p/e jC (2c /34-#4�_
P4 ke-coi •
Cj �53
Applicant Information w 774 /1.1--a.7/1.1--a.7—c,)z �) '
(architect, contractor, owner/owner's rep)
Contact Name: ;SA 14/1-; /19/J
Address: PD Bo
// 1 x /State:/79
City 01� �j(i' Zip: %S (use additional sheet if necessary)
Contact Name:
Building Permits:
Contact Phone: 70 _ 0 7 L/ 0 Revised ADDITIONAL Valuations (Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail: L. U () LA) cJ iC S �J GLfSvt e�y
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, Intern. onal Building and Residential Codes and other
ordinances . e Town applicable thereto. Total: $
X Owner/Owne s Representative S nature(Required)
Date Received:
21-Apr-2017