HomeMy WebLinkAboutTransmittal_13.pdf Department of Community Development
ItOf: 4i 75 South Frontage Road
TOWN OF IAIL'L Vail, CO 81657
Tel: 970.479 2739
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.
I Application/Permit#(s)information applies to: �e 0 v' ��� Q°` l •
I( ) Revisions ( ) Response to Correction Letter _attached copy of correction letter
I( ) Deferred Submittal ( ) Other
U "
Project Street Address:� y,�,
//C 7U 4G / c ,e /(.J C — (a i Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
I(Number) (Street) (Suite#) j
Building/Complex Name: f/a.,,l ecx4.4-4-0 -n.Qr, j -an4,r 07 Ai AJ 9,35e'Q.`u,Jzh�
i .
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: cl ��I<�
)„...,___i
Address: 00 t5 /(off C.
City State: 4 Zip: �� 3 ( (use additional sheet if necessary)
i Contact Name: �i�!N ----- - -- --
. Building Permits:
Contact Phone: •Revised ADDITIONAL Valuations (Labor&Materials)
(DO NOT include original valuation)
i Contact E-Mail: J I11 u;(cit ..-3 'kcc Iad-,u.<<,,i C , c.t:,w1/4„. C4
Building: $ oma i
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 ,��vo cc
1 ordina• es of the To n applicable thereto. Total: $
i X �et I %Fr
Owner/"" ' 'eprese ative Signature(Required)
i Date Received:
•
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E L D Town
FI of Vail
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PY .
21-Apr-20.17