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HomeMy WebLinkAboutB18-0387.001 transmittal.pdf Department of Community Development . 75 South Frontage Road TOWN OF VAIL[ " ail, CO 81657 Tel'970 47792139 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: i P ` 0 3< 7,Q a • ( ) Revisions ( ) Response to Correction Letter attached copy of correction letter • ( ) Deferred Submittal ( )Other 'Project Street Address: x vA� L I2-0 - , 1 Description of Transmittal/List of Changes,Items Attached, Indicate changed plan pages: (Number) (Street) c ',Q,� (Suite#))� ` -�- I Building/Complex Name: `��'� " 1' ,),a,-„,. e (� \ r�r, cp....( t 6 13 I try �, 1c,4, 6, c,sb- re. i- -- l cant r._.,._o. . ... .. ......,_ ,__ - ... .--------(?). ._- --a Cw6- c_ r . a6�f s..'Ve. 3 O I Applicant Information � � )� (architect,contractor,- owner/owner's rep) I Contact Naame:ntl(© Q hn 1f�I(.J (A)58.5 3� . du. - -- : • tAddress.•1 BOX C (0 Ig _ _ • ,, ... -f;�66 1l\ N,j `e - - Co.I t Q (use additional sheet if necessary) City ck f e -1�*- State: LAZip: 6 i Contact Name: IC�rr' ..(/)O.�p1C.. �� ___ L v��� 1 Building Permits: /� Contact Phone: 91,b a�4 ^ •Revised ADDITIONAL Valuations(Labor&Materials) Contact E-Mail:4dl�b�5� 5tYlaA( +cO`n'1 (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: $ i 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: $if V •sem ';;; I Owner/Owner's Representative Signature(Required) "'�- -'"'-'--" _ — ' / _ Date Received: �J I 21-Apr-2017 • A