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HomeMy WebLinkAboutB18-0212.001 transmittal.pdf Department of Community Development 75 South Frontage Road TOWN OF VAIL A57 Tel/970.4779.2ail, CO 139 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. L31 ' Application/Permit#(s)information applies to: • ( ) Revisions ( )Response to Correction Letter ^attached copy of correction letter ( ) Deferred Submittal ( ) Other Project Street dress: AS iA'21.1g // gK G%hcJe Z Description of Transmittal/List of Changes, Items Attached, [� Indicate changed plan pages: (Number) (Street) (Suite#) II // Building/Complex Name: DOS L --PL ) i p the l.tP-ci - Applicant Information (architect,contractor,owner/owner's rep) Contact Name: Gi OD/4g2, -.i 11.-1 � i219;Ce Address: /02.0 5(1.i`a`llt 419 A /20 . City d(/©,,(f State: C-0 Zip: `6z-0 (use additional sheet if necessary) Contact Name: L!U t S A1/Q-)//-72.rte -e !— _ �` Building Permits: Contact Phone: )-03C�lJ 5��(� ^ Revised ADDITIONAL Valuations(Labor&Materials) / `C �Cseiivi Ce -cpiL�O OT include original valuation) Contact E-Mail: G UL S � (�/O.l' e 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 p p to the town's zoning and subdivision c..es, design review ap- Mechanical: $ 9 proved, Internationa : ng and R: id'rntial Codes and other ordinances of the ow -pplicable t er-to. Total: $ t 000 X Owner.a - ive Signature(Required) Date Received: RECEIVED Auu a7 2018 Town of Vail 21-Apr-2017