HomeMy WebLinkAboutB18-0111 ILC transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF tIA if 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: PeirmH-- -# y -01 1
f Revisions b ? Response to Correction Letter ^„attached copy of correction letter
Ii Deferred Submittal Other
Project Street Address:
i-0 \N MCCiCliA Lvt A1C, Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: lJN )/\4N \
Applicant Information
(architect, contractor, owner/owner's rep)
Contact Name: 7OIYOICjon It MCC
Address: (l' A C. JQUC,OCt ct ,4401)
City CGY1rl')'1Y140j I State: CO Zip: Oi k (use additional sheet if necessary)
Contact Name: E7 V J\12 L
Building Permits:
Contact Phone: -301 c- 2-5— 7-7- Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail:L '/12A 7C 'T A( DEN't/t Z-C.t:�(Il) (DO NOT include original valuation)
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
to the town's zoning and subdivision codes, design review ap- Mechanical: $
proved, ernat bnal Building and Residential Codes and other
ordina s of a Town applicable thereto. Total: $
X '
Owner/ wner's Representative Signature(Required)
Date Received:
21-Apr-2017