HomeMy WebLinkAboutB18-0118.002 transmittal.pdf f..-- _c_71._. Department of Community Development
75 South Frontage Road
TOWN 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_submittai@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:
1-) Revisions (I i Response to Correction Letter _attached copy of correction letter
i)'Deferred Submittal )Other
Project Street Address:
I-7,)_6 b IC Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: A g1/ , ; 5 �/ � ( a
0+ )a ci-
ApplicantInformation it 7 ,��Q r ,
f �� -- t9a/IY
(architect, contractor,owner/o er's rep) 71(1`q 'I il i 4-1 J U
Contact Nam : ki
fj �/I n, I n ' ,Qtiz(tr
Address: V
-� 10 Dov /( ion
City State:(1 f Zip: 0 '9
On
(use additional sheet if necessary)
Contact Name:'0 . 01 T (o
Contact Phone: 7/ / cZ9Building Permits:
ADDITIONAL Valuations (Labor&Materials)
Contact E-Mail (DO NOT include original valuation)
Building: $ /D i 000
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 zonin• and subdivision codes, design review ap- Mechanical: $
proved Internatio r l B.ilding and Residenti odes and other
or¢inan is of the�°o r applicajr er to. Total: $ 10/
Owner/O'wner's Representative,/ignature (Required)
Date Received:
21-Apr-2017