HomeMy WebLinkAboutB17-0092.001_transmittal form.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL"` 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: BI7-0092
*)Revisions (0 Response to Correction Letter _attached copy of correction letter
G Deferred Submittal 0 Other
r
Project Street Address:
180 FRONTAGE ROAD Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: VAIL VALLEY MEDICAL CENTER Modification to Administration. Removal of Ultrasound.
Modification to MEP and Structure based on field investigation.
Applicant Information Addition of materials management area.
(architect,contractor,owner/owner's rep) Modification of access at north Cardio Pulmonary area.
Contact Name: Project One Reduction in exterior envelope modifications.
Address: 88 Inverness Circle E, Bldg G,Ste. 101 Modification based on constructibility feedback from GC.
City Englewood State: CO Zip: 80112 (use additional sheet if necessary)
Contact Name: Chris Knight
Contact Phone: 5415
5 II 7007
Building Permits: )
Revised ADDITIONAL Valuations(Labor&Materials
Contact E-Mail:
chrisk@project-1.com (DO NOT include original valuation)
Building: $ 155,000
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 35,000
comply with the information and plot plan,to comply with all Town Electrical: $
ordinances and state laws, and to build this structure according 10,000
to the town's zoning and subdivision codes. design review ap- Mechanical: $
proved,International ;+' ing and Residential Codes and other
ordinances of the .,'arable thereto. Total. $200,000
x /
Owner/Owner's -epresentative Signature(Required)
Date Received:
21-Apr-2017