HomeMy WebLinkAboutB18-0453.001 transmittal.pdf Department of Community Development
75 South Frontage Road
TO Ifl U�lL,} Vail, CO 81657
Tel: 970.479.2139
wvvw.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:IXI
Revisions ( )Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal ( )Other
j Project Street Address:
4p LiSAVA5 1 Description of Transmittal/List of Changes,Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: a C1;T ?AL4 CUT-17.
Applicant Information •
(architect,contractor,owner/owner's rep)
Q
Contact Name: is fr 114
`I L' i C
Address: ' O X 1!4O
City tat)tf_d 5 State:a-) Zip: .1X (use additional sheet if necessary)
Contact Name: f,Melp bY---1 10 i a v,
sal
-
� I ���t� Building Permits:
Contact Phone: I Revised ADDITIONAL Valuations(Labor&Materials)
�� I1 �. l 1 (DO NOT include original valuation)
Contact E-Mail: 7rE , �j / TY` ( ("' tl.� I
Building: $ i
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 an. o build this structure according
to the town's zoni �`d su •'an.'
codes, design review ap- Mechanical:
: $
proved, Intern- '• al i. I' d Residential Codes and other
ordinances • =J/fr.ñ'" '
f,/.. •- eto. Total: $ 'L{
X -go
•
Owner/Owne ' Repres-• _. Signature(Required)
Date Received:
•
•
•
21-Apr-2017