HomeMy WebLinkAboutB18-0397.002 transmittal.pdf Department of Community Development
75 South Frontage Road
OWN t4°1111) 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: B18-0397
*),Revisions Response to Correction Letter _attached copy of correction letter
O Deferred Submittal Other
Project Street Address:
1044 Homesteak Circle Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: Need to submit engineers report and details
prior to framing inspection.
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Ondrej Mertlik
Address: PO Box 5055
City Vail State: CO Zip: 81658 (use additional sheet if necessary)
Contact Name: Ondrej Mertlik
608-628-3684 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
ondre @b CVaILCoIYI (DO NOT include original valuation)
Contact E-Mail: j p
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 Build'•g2, d Residential Codes and other
ordi w :. ofth= o -p•'cable thereto. Total: $
X 4E,0 //-/2 -/8
Own-7' ner's Representative Signature(Required)
Date Received:
21-Apr-2017