HomeMy WebLinkAboutB17-0238_Transmittal 6.19.17_1497898080.pdf Department of Community Development
(°Z)
75 South Frontage Road
Vail, CO 81657
T��� �F �r4�� Tel: 970.479.2139
www.vallgov.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: tell 020'12*,
0 Revisions f 1 Response to Correction Letter _attached copy of correction letter
Deferred Submittal Other gltii114•A e.McGAA4tbAL 012.
PLUMtalIVC friatoM P&p fir APP,
Project Street Address:
2-2•t1 .v'4 rPro0 . 1,1 - Description of Transmittal/List of Changes,Items Attached,
Indicate changed plan pages:
(Number) (Street)
Building/Complex Name: t700itisfrrgrae. I+1L4O,4 ' 140 M Acr4LGA- QP"
g t.-t1 N1 't r1fit M W 1'
Applicant Information Vita pp R.1'
(architect,contractor,owner/owner's rep) 10e1244 -V' A f e“bh-t c e,A
Contact Name:
04friZ
r 14 .70
City 60 Zip: it/ .4A7 (use additional sheet if necessary)
C V�(/ State:
Contact Name: V 1,1f2'E'- +� tKW-0- 6
�,Q Building Permits:
�
Contact Phone: 119. 9 \ 1 'bt39 Revised ADDITIONAL Valuations(Labor&Materials)
i (DO NOT include original valuation)
Contact E-Mails rte, �=� MC/ a
�-h f t Gy I ✓ MG c oM Building: -0' $
I hereby acknowledge that I have read his application,filled out �Fl��'�
in full the information required,completed an accurate plot plan, Plumbing: � 4
and state that all the Information as required is correct I agree to aCor1wei2
comply with the information and plot plan,to comply with all Town Electrical: $
ordinances and sta - aws,and to build this structure according fte ���vlv r
to the to d subdivision codes, design review ap- Mechanical:
prov=• ;:nor.— ilding and Residential Codes and other
ori J `r own applicable thereto. Total: $
X WMA
Owner .^*':r's -epresentative Signature(Required)
Date Received:
21-Apr-2017