HomeMy WebLinkAboutB18-0194.001 transmittal form.pdf Department of Community Development
75 South Frontage Road
TOWN Ofn 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: B18-0194
*) Revisions Response to Correction Letter _attached copy of correction letter
Deferred Submittal I Other
Project Street Address:
4770 Big Horn Rd NI Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number)• (Street) (Suite#)
Building/Complex Name: Vail Racquet Club framing revisions
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Burke Harrington
Address: POB 2943
City Vail State: Co Zip: 81658 (use additional sheet if necessary)
Contact Name: Burke
9703762256 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:
bhCco comcast.rlet (DO NOT include original valuation)
Building: $ 0
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: $0
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap- Mechanical: $0
proved, International Bu'lding and Residential Codes and other
ordinances the applicable thereto. Total: $0
Owner/Owner's resentative Signature(Required)
Date Received:
21-Apr-2017