HomeMy WebLinkAboutB17-0072.003 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OFV9L ` 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: Building 07- B17-0072
(*) Revisions (5 Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal n Other
Project Street Address:
2310 Chamonix Road Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: uleelc`l411Ger7t00 Revision to boiler exhaust flue routing to exterior of building
Vail penetration location.
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: RA Nelson LLC
Address: 51 Eagle Road#2, P.O. Drawer 5400
City Avon State: Zip: 81620 (use additional sheet if necessary)
Contact Name: Jason Kiefer
970-471-3923 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
jkiefer@ranelson.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
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: $
X
Owner/Owner's Representative Signature(Required)
Digitally signed by Jason Kiefer
1�1 f 1�DN: C=US, Date Received:
JaSOI 1 KIe OI E=jkiefer@ranelson.com, O=RA
Nelson, CN=Jason Kiefer
Date:2018.06.15 13:41:24-06'00'
21-Apr-2017