HomeMy WebLinkAboutB16-0266.004_transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIZ 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: tl(D --049t9 i rt324- (cc4O 7)
I;q.Revisions (r)Response to Correction Letter attached copy of correction letter
1 Deferred Submittal 11 Other
ArnieStreet Address:
f! I��1 ��? Description of Transmittal/List of Changes, Items Attached,
1 " Indicate changed plan pages:
(Number) (Street) �L--y�� (Suite#) `_
Building/Complex Name: .i1L) -1 "t. lie
PekgliNkS6 111C-'; 11411512.* Whilgibk&
Applicant Information p 1 1 ir► / p 1'1
1
(architect,contractor,owner/owner's rep) - M1/4W— VIDGCTI VeS V1 P.`
Contact Name: ile-isieVI Alaa[ 1-175cr, 04A44N. Amo gri
15.
Address: I01 5. IS"''4511e1E6T 516. 9:1)
I
City F i_1"4 AOr4l' State:VAN Zip: lb (use additional sheet if necessary)
- !
Contact Name: Mak. EML *4) SLUM: L
343 h Revised Permits:
Contact Phone: - �IV 1 �] Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail: f°� st I.
• �, +('jy 8uildin $
I hereby acknawl••g� a� ve reaa�i i a an,fi�ea vt�t � g. Ay l
in full the information required,completed an accurate plot plan, Plumbing: $ NJ ti
and state that all the information as required is correct. I agree to 1
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 s • -sion codes, design review ap- Mechanical: $
proved,International Bui ti+-sidential Codes and other
ordinan the Tow. app177. ii ereto, Total- $
keeOw 6wners resen ative Signature(Required) !2 ��
Date Received: Wwmarat oi4
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G me i
OM �eSt Aa')
21-Apr-2017