HomeMy WebLinkAboutB18-0110 ILC transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL 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_submittalcvailgov.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: Peru\ # i D - 0110
( ) Revisions V ? Response to Correction Letter _attached copy of correction letter
i Deferred Submittal 'Other
Project Street Address:
1-11'-2 _E . Mrocim Lanti Description of Transmittal/List of Changes, Items Attached,
(Number) (Street) Indicate changed plan pages:
(Suite#)
Building/Complex Name: FGUND/T1t)N 3 tx:-.
Applicant Information
(architect,contractor, ownerlowner's rep)
Contact Name: Vir'[ron h rit.
Address: {9t4 S.TPIA . u ec - 440D
City C 71 x\Y1 101 State: CO Zip: 1/4;0111 (use additional sheet if necessary)
Contact Name: VD \ N 6\-e
Building Permits:
Contact Phone:
(..)`J .j:2-5 �9Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include valuation)
original
Contact E-Mail: MD @ Pf A �
el )I�N to COM g
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, Int natio al Building and Residential Codes and other
ordinanc of th Town applicable thereto. Total: $
X .•' .
Owner/0 ner's epresentative Signature(Required)
Date Received:
2 l-Apr-2017