HomeMy WebLinkAboutTransmittal_14.pdf Department of Community Development
75 South Frontage Road
Vail, CO 81657
TOWN OF /AIL AL Tel: 970A79.2139
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.
r___._ ____ ______ ZQ `C ) S. e0Uj _ _ __
(Application/Permit#(s)information applies to: •
( )Re isions ( )Response to Correction Letter ,—attached copy of correction letter
I
Deferred Submittal ( )Other
1
Project Street Address:
i 7 fp--(-0 `3~ttie (,c - 1 Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#) I
I Building/Complex Name: Se'i L-S ins-7P ----C,
I Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: S
he-1 ill&CIA •
' l �
Address: � 1 ( / _ '
City AVO f' ) State: Zip: (use additional sheet if necessary)
Contact Name: 7 7O l 7f (p s" _ --- ___ -__- --
Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
I (DO NOT include original valuation)
Contact E-Mail: /
Building: $ / 6 U
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: $
pro,vInternaf- al Buil.-ng and Residential Codes and other
on�j '.-s of ., n :I.•icable tii-di Tota $ q0 -�
x "'� f "�-
i Owner owner's Reptative Signature(Required) –
RECEIVED
( Date Received:
MAY 15 2018
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Town of Vail
21-Apr-2017