HomeMy WebLinkAboutB18-0162.001 transmittal.pdf Department of Community Development
„sa — 75 South Frontage Road
TOWN OF vIt4. 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: 0 •
( ) Revisions ( ) Response to Correction Letter attached copy of correction letter
( ) Deferred Submittal ( ) Other
IProject Street Address:
GI1kolu iX Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: �"\[ G VIeW N2�
IPayer .
Applicant Information L(ceiC
(architect,contractor,owner/owner's rep)
Contact Name: 3" ✓vixe✓\ CrI0ij
Address: Pd
Lj
City V c'\\ State: (X) Zip: 7\GS (use additional sheet if necessary)
Contact Name:
BuildingPermits:
Contact Phone: Gib Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail:
Building: $ i
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: $
proved,International Building and Residential Codes and other •
ordinances of the Town applicable thereto. Total: $ I
X
Owner/Owner's Representative Signature(Required)
Date Received: RECEIVED
MAY 1 1I 2018
Town of Vail
21-Apr-2017