HomeMy WebLinkAboutB17-0092_B17-0092.002 transmittal_1505342950.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: B17-0092
Revisions U-!1 Response to Correction Letter _attached copy of correction letter
a Deferred Submittal Other
r —
Project Street Address:
Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: REMODEL OF LEVEL 2 SPACE FOR ULTRASOUND AND SLEEP STUDY ROOMS.
WALL REVISION IN PHARMACY BASED ON EXISTING CONDITIONS.
Applicant Information REVISION OF RESPITE ROOM ON LEVEL 1.
(architect,contractor,owner/owner's rep) REVISIONS OF FINISH, MISC. LOCATIONS.
Contact Name: CHRIS KNIGHT, PROJECT ONE ADDITION OF STEEL BETWEEN TWO EXISTING SLABS.
Address: Building G, Suite 101,88 Inverness Cir E MISC. MEP MODIFICATIONS.
City Englewood State: CO Zip: 80112 (use additional sheet if necessary)
Contact Name: CHRIS KNIGHT
303.569.9989 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
CHRISK@PROJECT-1.COM
Contact E-Mail:
(DO NOT include original valuation)
Building: $ 110,000
I hereby acknowledge that I have read this application,filled out 10,000
in full the information required,completed an accurate plot plan, Plumbing: $
and state that all the information as required is correct. I agree to 18,000
comply with the information and plot plan,to comply with all Town Electrical: $
ordinances and state laws, and to build this structure according 20,000
to the town's zoning a subdivi_'•• ••-s, design review ap- Mechanical: $
proved,Internation;/ •' • -nd Residen'al Codes and other $158,000
ordinances of the��7.•livable thereto. 11 Total:
eihtf
Owner/Owner's Representative Signature(Required
Date Received:
21-Apr-2017