HomeMy WebLinkAboutB17-0379.001_transmittal.pdfDepartment of Community Development
75 South Frontage Road
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 re issuance 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.
I Application/Permit #(s) information applies to: _....,t_ ...... f~·-7 __ --_Q __ S __ f_lf __ _
I ( ) Revisions ( ) Response to Correction Letter _attached copy of correction letter
I ( ) Deferred Submittal ( ) Other __________ _
I r p;~j~~t.st;e~t.Add~~~s: /Cj )u u6o ~ ~. ~~~·~ ,_.b~ .. -j -~-~:c~~~io~ 0;~ra~s~~~t:;1-~i~t of Changes, Items Attached,
1----{/tV 1111 .J--i Indicate changed plan pages: l (Number) (Street) (Suite#) j---------------------
j Building/Complex Name: _s_1_T-=Z=l"l~l/1l~~-+(_>i_L-~1~F.-~-----C L-1 ""-r.-n;: {PN rR-o 1....... (" '{ S rt;7'\
1-._ ... ,~-.. " -~ . -~~ .. -.. __ .. _____ ··--. _ . _ ........ _ ___ j...JSl'tW ,::;~ lt-J T lfr !LN 1 r.
! Applicant Information totJbtt=JS. v./L /} N Ir l N'S DTL L Q
I '(architect, contractor, owner/owner's rep)
! Contact Name: 'B1tD'rµw...t'1 l}~P~r-(
;Address: ru . S(Jx. syg 1./
12µ '?-otc.( H-
City VA-1 (__ State: L {/ Zip: 8{ C, .)2( (use additional sheet if necessary)
! Contact Name: Sttsc,"-1 Bib Ttt:f\J ,------.~=-------
\ Building Permits:
l Contact Phone: (Cf 70 J 33 / -I fo Fr Ce · Revised ADDITIONAL Valuations (Labor & Materials)
I 1 1_ ~ fl ·/ (DO NOT include original valuation)
: Contact E-Mail: r.iree._(..etw"'i ~•of er _ Rrv ((e.5 p.1gw 1,_.(0N1
./ Building: $ ________ _
I hereby acknowledge that I have read this application, filled out
in fu ll 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
ordinanc Town · ble thereto. Total:
$ lfo1z5V
iX l Ow~n----±=----:=.------=---------~ i
I
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,--------------------·-------------------.. ------------------
! I Date Received:
I I I _ _I
RECEIVED
OCT 31 Z017
Town of Vail
21-Apr-2017