HomeMy WebLinkAboutE17-0029_E17-0029 transmittal_1511369923.pdf Department of Community Development
75 South Frontage Road
TOWN O F VA UVan, 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: E17-0029
*) Revisions (n1 Response to Correction Letter _attached copy of correction letter
Deferred Submittal (I7 Other
Project Street Address:
1255 Westhaven Circle Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: Lipnick Residence Additional electrical wiring that is required for a
solar array. Connect equipment provided by
Applicant Information Active Energies.
(architect, contractor, owner/owner's rep)
Contact Name: White River Electric, Inc.
Address: PO Box 1118
City Avon State: CO Zip: 81620 (use additional sheet if necessary)
Contact Name: Rick Geddes
970-376-6020 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Mate'rials)
Contact E-Mail:
rick@whiteriverelectric.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 1,500.00
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 an..-esidential Codes and other
ordina s of the Town appy otAiereto. Total: $1,500.00
x • �o ►s
Owner/Owner's Representative .• - ure(Required)
Date Received:
21-Apr-2017