HomeMy WebLinkAboutB18-0362.001 transmittal.pdf V
Department of Community Development
76 South Frontage Road
TOWN OFVail, CO 81657
�►�jt i 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 submlttalevailgov.com. Deliver paper plans to Community Develop-
ment or upload your revised/corrected plans to the appropriate project in ProjectDox, when requested.
Applleation(Permlt#(s) Information applies to: I<Z) -- (r 7?--)`p
7 Revisions Response to Correction Letter attached copy of correction latter
Deferred Submittal 15'Other
Project Street Address:
—I kick., of Transmittal/List of Changes, Items Attached,
kick., �� Indicate changed plan pages:
(Number) (Street) (Suite#) •
Building/Complex Name: -PD V(.1,1) 1. )x--00 4-..F; /ivtr n 44C4-40
W m.l A V P,4.cr 0'1 5 A-c r 1:)2•40...4 ro,,,,-ti
Applicant information
V i�{l7rtw A-- •<14-0.c.,-eA A)
(architect,contractor,owner/owner's rep) !'
C-0 14) ,hs Pei- Pv-iw ✓Ftahp
Contact Name: LE- CDE �� Ji
Address: ?lD 12j0'1 L 1
City \JCl
I State: CO Zip: CO6 5J 5y (use additional sheet if necessary)
.i
Contact Name:
Building Permits: 1
a
Contact Phone: L 70— 1 2)— 2.-- 1 10 3 Revised ADDITIONAL Valuations(Labor&Materials)
4 (DO NOT include original valuation)
Contact E-Mail: -S CSG►�5- ,rUL4,Zr—J 337 eL+'vi.i (04_, /0 out)
Building: $ t
I hereby acknowledge that I have read this application,filled out 1
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 n
ordinan sof the Tow app.ca a thereto. Total: $ 1 V) 000
X ,�
Owner/ wner's Representative Signature (Required) -
Date Received:
21-Apr-2017