HomeMy WebLinkAboutB18-0118.003 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAI°;#L ' 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.
Appl tion/Permit#(s)information applies to: 5 17-.
U `O II -
Revisions 4J Response to Correction Letter _attached copy of correction letter
0 Deferred Submittal I[j Other
Project Street Address /
�',/Y� ^�-'-t4. Description of Transmittal!List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Stre ('�/� (Suite#) 9 ,� n Ler
Building/Complex Name: OLQOA) 463 Pi /GC _SI___ 6) CX Y t .5 t
Applicant Information I %11/ ��r� 6
x
(architect,contractor,owner/owner's rep) n
Contact Name. J) .. / 4 1 v
Address: '�amy {
City 41./. D 1 State. Zip:( 1 a (use additional sheet if necessary)
Contact Name:
Building Permits:
Contact Phone: 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: $ gv "'�'"'�
�
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: $
or..-: ces and state law: and to build this structure according
. the .wn's zoning an. ,clivi- •n codes, design review ap- Mechanical: $
prove. nternatio . d I B, • ! a '-sidential C..es and other
ordines of the�.w .`�f.l- reto. Total: $
Own=U ner's Representative • ature(Required)
Date Received:
RECEIVED
1
AUG 222018
Town of Vail
21-Apr-2017