HomeMy WebLinkAboutB17-0161.001_transmittal.pdfDepartment of Community Development
75 South Frontage Road
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 Projectoox, when requested.
/Application/Permit #(s) information applies to: ---'BL.::..-+-l --1]_-...,,.0~ ...... f .... 0"'-"'~----'·~0o<.....=:O__._/
I ( ) Revisions ( ) Response to Correction Letter _attached copy of correction letter I ( ) Deferred Submittal ()Other __________ _
I t ............ _,_ ....... , .. _,..-_ ...... ~-·-...-. .-, .. ~--·~··· ._.,
i Project Street Address:
I ! ~'-5 S Dc..vo s ±ro..il w£sr I (Number) (Street) (Suite#)
j Building/Complex Name: Do..va.S Dvplex
i I-·-.. ~~--.. -~··~·-···-~ .. ·...... . ....... _. __ ........... -· ...... " ...... -.. -.. . ! Applicant Information
I
'(architect, contractor, owner/owner's rep)
!contactName:l'11ke Yov/""13
! Address: PO Bc1 x. Y ]J O
!
! Description of Transmittal/ List of Changes, Items Attached,
; Indicate changed plan pages:
'----------------------!
In floor bee.. t +-hro3h cµv+ VJ~·+t..
~ use s of H1f1b eEF, Bo,·ler
City E.J.wc...cd ~ State: c..o Zip: %' IC, 3J (use additional sheet if necessary)
Contact Name: JV\ i I~ e. l( o C/f\ fj :-· ------
Building Permits:
! Contact Phone: q Z0-3 ZG -;lo ;;;2.0 ·Revised ADDITIONAL Valuations (Labor & Materials)
l (DO NOT include original valuation) l Contact E-Mail: ,N\ ,·Kg, 1'o vD8 1.02.0 Q m~c . Ccvyl
· Building: $ ________ _
I hereby acknowledge that I have read this application, filled out
in fu ll the information required, completed an accurate plot plan,
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
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap-
proved, International Building and Residential Codes and other
ordinances of the Town applicable t o.
Plumbing:
Electrical:
Mechanical:
Total:
$~--------
$~--------
$ ________ _
$ ________ _
i X~~~~~~~~~~~~~
1 Owner/0
I
I
,--·---------· -.... ··---·-........ -.......... _ .. -----... ·---··--.. --------------
! I Date Received:
I . I t-ri'n I A r I. ,J _f Lu ,,.Jo~',,.,"' ~ H ~ /'/ --r.' I ++-)¥..L'...~tl.(4. ..--1LX.lLm.l.J ~~----'
RECEIVED
OCT 2 6 2017
Town of Vail
21-Apr-2017