HomeMy WebLinkAboutB16-0490.004 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_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: \
to,S.Revisions (17 Response to Correction Letter _attached copy of correction letter
0 Deferred Submittal lj Other
Project Street Address:
Dr`_ -/ ` ?_ Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#) C�L/1 -�-
PVBuilding/Complex Name: p N\.) \\oL) e c? 5i U✓LS
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: X`
Address:
City State: Zip: (use additional sheet if necessary)
Contact Name: >-^-Y—CL1
�1-� ����j -j—j Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
C1 (DO NOT include original valuation)
Contact E-Mail: :- 1(c h J'F'c 1 x • �,‘`C��
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,International Building and Residential Codes and other
• dinances of the Town applicable thereto. Total: $
Owner/a
's presentative Signature(Required)
Date Received:
21-Apr-2017