HomeMy WebLinkAboutHelical Pier transmittal.pdf Department of Community Development
75 South Frontage Road
°1 ,
TOWN nr VA11 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: 5 /8 -- so 11 • DO
f Revisions (( )Response to Correction Letter attar ed copy of correction letter
d )Deferred Submittal Cher (/� rVf'o S/CV too 4:-
Project
'-Project Street A.dress•
��, ���, `�: Ge- fu.
Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) /0 (Suite#)
—
Building/Complex Name: //j C cd f Q-Y 9 -rV I J),-�
eizfo 1-1- --
Applicant Informal on
(archite. contractor,o ner/ownerr''syrep)
Contac Name: 119 I
- ,,.4 . 040 c
1Address0 .41•14— & C
are 0--?
City es/
I, State:AL Zip: (z (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: $
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 coves design review ap- Mechanical: $
pro 11,Interna '. l Buildi • and Res".-, :I Codes and other
. .in.11, es % �.wn a,- dli,.deeth=r: . f Total: $ - a)
Owneitwner's Repr• - .tive Signature(Required)
Date Received:
RECEIVED
JUL 3 0 2018
Town of VVIIApr-2017