HomeMy WebLinkAboutB18-0080.003 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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: WFX>
j‹).Revisions 15 Response to Correction Letter _attached copy of correction letter
6 1 Deferred Submittal (Ti.Other
Project Street Address:
1 5 , cd\ \\ Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: i,--cA)Lsf
Applicant Information ,( n61 4-:\
ronC'
(architect,contractor,owner/owner's rep) \I\��,-^tel :3)
J_-- (O. r to
Contact Name: .92)\.5;\
Address:
Contact Phone:
City State:^ Zip: (use additional sheet if necessary)
Contact Name: �Q�„)(T)3/-
,
2C\ b Building Permits: )
Revised ADDITIONAL Valuations(Labor&Materials
(DO NOT include original valuation)
Contact E-Mail: $ S(z��U S-C Grp
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 Residential Codes and other
ordi es,of the Town applicable thereto. Total: $
Owner/Ow #s epresentative Signature(Required)
Date Received:
21-Apr-2017