HomeMy WebLinkAboutB18-0486.001 transmittal.pdf Department of Community Development.
_. . 75 South Frontage Road
Tel:TOWN OF VAIL 970 79 21139
www,vailgov.co•
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TRANSMITTAL FORM
We 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: cciev_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: SIF —0`i
dpo Revisions ( ) Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal ( ) Other
1 Project Street Address:
l L/7 '2
/1/1 Q< O i Dr lye / Description of Transmittal/List of Changes, Items Attached,
! 'Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: MOv/?-'t , fiitctc in/ i k ,•"1 /' ✓hOJ)p 1
tOu.J4Ad:/l'1es i 3 6. 1-16 re3ones Oe o a i
Applicant Information c., (ace -Ft ri1Sk5 -- hJuujAuvt
(architect,contractor,�� owner/owner's rep)1 �,,) .. C� LI C e ,, r3
Contact Name: L>vr k4< t-Ia cr i' -I '1St( ( 1c'
Address: �3 Po Gkf z9 q
/
!City 1i< 1 State: �� Zip: '/( S (use additional sheet if necessary)
Contact Name: Suirk 1 111
r Building Permits:
I Contact Phone: 7 7 a u 3,7 C ~ Z Z-5 -Revised ADDITIONAL Valuations (Labor&Materials)
(DO NOT include original valuation)
I Contact E-Mail: 614.CC o C b r+7Cc a r. �'JE(
Building: $ ?S. 0 0
I hereby acknowledge that I have read this application,filled out /O 00
in full the information required,completed an accurate plot plan, Plumbing: $ ,
and state that all the information as required is correct. I agree to � OU
comply with the information and plot plan,to comply with all Town Electrical: $
ordinances and state laws, and to build this structure accordingfO G"
to the town's zoning and subdivision codes; design review ap- Mechanical: $
proved, International Building and Residential Codes and other
ordinances the To n applicable thereto. Total: $ I
Owner/Owner's R presentative Signature (Required) --.-__.------.- --.Date Received:
• 21-Apr-2017