HomeMy WebLinkAboutB18-0362.002 transmittal .pdf Department of Community Development
75 South Frontage Road
TOWN OF 111111 ■ 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: B18-0362
(*) Revisions ( ) Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal n)Other
Project Street Address:
Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name:
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: Lee Sedota
Address: Po box 3497
City Vail State: COZip: 81659 (use additional sheet if necessary)
Contact Name:
970-393-2163 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations (Labor&Materials)
LMSconstruction337@gmail.com
(DO NOT include original valuation)
LMS
Contact E-Mail: @g
Building: $ 2000
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)
Date Received:
21-Apr-2017