HomeMy WebLinkAboutB17-0472.001 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN O F V►4l 1 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: Proctor Hutto Residence B17-0472
Revisions V Response to Correction Letter attached copy of correction letter
(r Deferred Submittal Other
Project Street Address:
2014 W Gore Creek Drive 5 Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: Hamlet Towhhouses 5 &6 Combined Revision 1. Revisions related to garages and storage
Also revisions related to uncovered structural items.
Applicant Information DRB approved.
(architect,contractor, owner/owner's rep)
Contact Name: Paul Stege
Address: PO Box 4716
City Edwards State: CO Zip: 81632 (use additional sheet if necessary)
Contact Name: Paul Stege
970-390-5367 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
pstege@me.com (DO NOT include original valuation)
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 Building and Residential Codes and other
ordinances of the Town applicable thereto. Total: $
X
Owner/Owner's Representative Signature(Required)
Date Received:
21-Apr-2017