HomeMy WebLinkAboutB18-0451.001 TRANSMITTAL.pdf Department of Community Development
75 South Frontage Road
TONIN OF VAJL'L(-' '' Tel:ail, CO 81657
l 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.
I Application/Permit#(s)information applies to: (CC G (-f-,_ i • `�`J ,
I(Revisions ( ) Response to Correction Letter _attached copy of correction letter
( ) Deferred Submittal ( ) Other
I Project Street Address:
i
l 04 5 (✓F 1'61c— D Description of Transmittal/List of Changes, Items Attached, ;
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: yh/L �j0/r60t./t .5-6q,4/- NE. J MAST—FigitSF. i 4
I Applicant Information aA `' ,;► ;4C^ .1,1.-1 fir.{.
'(architect,contractor,owner/owner's rep) i`t p i: 'Iv a,, ,1/w
:....
! Contact Name: �- <f(�7 74( l'loc3<_ CrAiL r (ifie" / l iff
Address: 6
F� �/(t. 0 (use ad ona+r i t f nese ry � �
City ' r_='- State: Zip: b! 3/ '•
Contact Name: i 1.e'S ______ -_� �__
�� _ Building Permits: )
Contact Phone: 3lo 3 Revised ADDITIONAL Valuations(Labor&Materials
' (DO NOT include original valuation)
Contact E-Mail: JI but to l- 1Hcdka-hkoteI , (jp
Building: $ /cid 00a —
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 - �•al. $
ordinances and state laws, and to build this structure according
to the town's zoning and subdivision codes, design review ap- Mechanical: $
: proved, International Building and Residential Codes and other
ordi•- ces of the Town ap•lia=ble/hereto. Total: $
/ �:
X /J 1 :��.
Owner/y+Qj=�; prese of e Sign7a (Required) i
Date Received: •
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21-Apr-2017