HomeMy WebLinkAboutB18-0309.001 transmittal.pdf 1
Department of Community Development
ii, 75 South Frontage Road
TOWN OF VAIL TVail, CO 81657
el: 970A79.2139
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: 13118 " 0307 •
06)Revisions ( )Response to Correction Letter attached copy of correction letter
( )Deferred Submittal ( )Other
'
s....�.., ............ .....�.-.•-.,... .•...... -.......-. .......- - ...,—.......... . .. . •...____........,._...... • _
i Project Street Address: /' r
1 -150 l Lian3i d GYf,(e /` 1 Description of Transmittal/List of Changes,Items Attached,
i Indicate changed plan pa
I(Number) (Street) (Suite#) j Ne T,wtQ
Building/Complex Name: lire..... ( .t w i ()IketkaA+cc-A k( _ Z 'I - Z la-3
1 z-ex-vSift q,eSov rc e- '
Applicant Information ? -e, IQ<..A...) sk P`�S
{(architect,contractor,owner/owner'srep) .1.-m tStMce.'3)�cl C'�e did ev.,c c�\ chi k +
i'
Contact Name: Sam- Lecf l e
J Address: p.O. tlic 1t(QSS
l ^ `, (use additional sheet If necessary)
City IN State:( W Zip: bit c,
I ` L.�W `v
�Contact Name:
qQp� Building Permits:
I Contact Phone: q - 3q0 - 3169 O / Revised ADDITIONAL Valuations (Labor&Materials)
(DO NOT include original valuation)
1 .
Contact E-Mail:1O0L�Me cc/Vi cts€AISn.CcjM
Building: $
I hereby acknowledge that I have read this application,filled out 1
in full the information required,completed an accurate plot plan, Plumbing: $
i 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: $ /e5'. ' •C. 00
• proved,International Building and Residential Codes and other
ordinances the Town applicable thereto. Total: $_ l r• t
Ckamif-r
I Owner/Owner's Represen ativ gnature(Required) `—�- -' T- "-' -' -"""
Date Received:
` I
I
- __.1
21-Apr-2017