HomeMy WebLinkAboutB18-0118 ILC transmittal.pdf Department of Community Development
75 South Frontage Road
SOWN OF VAIL' 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: I —0 i 1 O
Q },Revisions 117. Response to Correction Letter _attached copy of correction letter
di-Deferred Submittal 1)Other
Project Street Address:
1 1 a� fir---f6-14P_ C-��
- Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: N �Tf 6iA..
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: 3,--1 Ly 11l 6�L_O
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name:
y (/ 1 Building Permits:
(�i
Contact Phone: 'I /O `r �I -���`� _ Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail:
Building: $
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