HomeMy WebLinkAboutB18-0275.002 transmittal.pdf Department of Community Development
75 South Frontage Road
TOWN fir VAIC 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.
) 'Revisions
Appplication #(s)information applies to: errnt �j� - 0-i 0 1 Response to Correction Letter attached copy of correction letter
l5 Deferred Submittal Other
Project Street Address:
�,r� �{
I Forte 12Ovi�id Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: i2EV P LAK;
FoundGrhon Pon
Applicant Information I:\IV9 I C V'�� Frpm rot pon
(architect,contractor,owner/owner's rep) MG LeAt I I11I ROI()
Contact Name: puree on lrncc
Address:
(St-RN s• audoeti,
COI . ,#14o0
City C 1tc )vl)G State: W Zip: 50)1 j (use additional sheet if necessary)
Contact Name: Edi Ve-X)C ralblt.
Building Permits:
Contact Phone: 'D "" S2.S ` i-T Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail: ed ()gro �j1'1�1c e r1,/('r c,(ir
l 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-rn"tio =l Building and Residential Codes and other
ordinan -4• he •.f n applicable thereto. Total: $
X zt
Owner/0 tner's --presentative Signature(Required)
Date Received:
21-Apr-2017