HomeMy WebLinkAboutB18-0354.001 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN °FIT) 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: ii 1 4 —D35-4 "— G of c e�Ge_
•
0 Revisions 0Response to Correction Letter _attached copy of correction letter
(=j]Deferred Submittal 0 Other
Project Street Address:
a Iq 9 Cluj vykonA)C 0,-- // Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
7QQ n (� f � 1�f
Building/Complex Name: .4 A I�+�J�SJCI,
i o�
J. 17 "tLroi K.'111.4ne-. bS:-1-io6/1
—SWR f1 ►'G W`e— et, , 0--1.S !• /
S
Applicant Information -SAO II /` SA--a.L I ,
(architect,contractor,owner/owner's rep)
Contact Name: NINA �^k ry'/B! -hez_ /0,4434j4 P(
Address:ni c !'�
OSD�. St.
City ciaa J-er- State: C7 Zip: Fed-17 (use additional sheet if necessary)
Contact Name: )40_ 4-{L elIi -.a.,rt
Building Permits:
Contact Phone: 7.2 —'2'1(— lc 0 Revised ADDITIONAL Valuations(Labor&Materials)
i I /C.t. (DO NOT include original valuation)
Contact E-Mail: k half ZDcO(r1 qw . C+ .- /
/ Building: $ ` 6r
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, Int- ation- :uilding and Residential Codes and other „�
ordinanc:, .f, T. n applicable theretori
Fj0Q�
Total: $
X ( .fie, e r ' i
Owner/'.wner's -epresentative Signature(Required)
Date Received: /0,/0
21-Apr-2017