HomeMy WebLinkAboutE18-0048.001 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OfeVail,CO 81657
Tel: 970A79.2139
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.
Appl//ication/Permit#(s)information applies to: L ( ;] L-4-1-1
(:„'Revisions ( )Response to Correction Letter _attached copy of correction letter
( 1 Deferred Submittal ( Other
Project Street Address:
j� L vij v Description of Transmittal/List of Changes, Items Attached,
`7 Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: i 1 'CC l_.x 1: i 'j t ('`\ ci < ('U-CA
Uk--kjU L, \O L 0 ( LO-A,. .. U �1 ' Gam( LL.)
Applicant Information .
(architect,contractor,owner/owner's rep) C. l'\ ��`t 1 A373
L
Contact Name: ,efokC Gtj i� G (��
Address: .0• jt'?, ( d ( 11.0
I (? (use additional sheet if necessary)
City U �!�� State: Zip: LASS
Contact Name: \IVti
Building Permits:
Contact Phone: t-t S ,6 Revised ADDITIONAL Valuations(Labor&Materials)
I (DO NOT include original valuation)
Contact E-Mail: l %tet (L� 6-":7-64.4aLIC ,
( ' i6 �u" l ding:
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 �Ar;
comply with the information and plot plan,to comply with all Town Electrical: $ f _.:�CO,
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 67ordinances of the Town applicable thereto. Total: • $
X
Owner/Owner's Representative Signature(Required)
Date Received:
21-Apr-2017