HomeMy WebLinkAboutB17-0233.002_transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAI! °
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 ProjectOox,when requested.
Application/Permit#(s)information applies to: B17-0233
6 Revisions 0 Response to Correction Letter _attached copy of correction letter
0 Deferred Submittal 0 Other
Project Street Address: -
4112 Spruce Way Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: '2 ) 6 I I O 63 o Pull out wood burning stove and replace in same
corner of living room with Fireplace Xtrordinair
Applicant Information Bed N breakfast gas fireplace us-gls1Fwtr
(architect,contractor,ownerlowner's rep) CIAN 1.5(.;""-Q.
Contact Name: Gold Dust Interiors +INti 1.0.4 (39-C ,vr
Address: PO Box 2897
Edwards
City State: Zip:
CO 81632 (use additional sheet it necessary)
Michael Connolley
Contact Name: Y --.-
970-390-5866 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: golddustinteriors@hotmail.com hotmaii.COm (DO NOT include original valuation)
Building: S
I hereby acknowledge that I have read this application,filled out $1000.00
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
comply with the information and plot plan,to comply with all Town Electrical: $
ordinances and state laws, and to build this structure according 4000.0{)
to the town's zoning and subdivision codes, design review ap-
proved,International Building and Reside . 'odes and other
iyikeso4Ltj7�Trn,plicable the Total: $
Owner/Owner's Representative Signature�':quired) i
Date Received: q9, 95
63•zi . yethiejRP 1
t9/5-6,4-e;,---
1 21-Apr-2017