HomeMy WebLinkAboutB16-0490.007 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: 6/(/ - 0
Revisions fi Response to Correction Letter _attached copy of correction letter
Deferred Submittal fl Other
,
Project Street Address:
2,1 2� A , `, , No /2_ Description of Transmittal/List of Changes, Items Attached,
C� JIndicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: I (J'(j 1-k)Xe f S €\/(sQ1t (SVT. 4-vvoJ pia V)5
S. ovr cth 1 cAJ U S
Applicant Information 'T4_ ei a`omo5 4-
(architect,contractor,owner/owner's rep)
Contact Name: s ; U i ti% 1A .f.3T _7 SI .C / C7. 11 I cJ.2..d /5,2,i/
Address: S ,a/ sa . /ss ,a
City State: Zip: (use additional sheet if necessary)
Contact Name: 1_.._ - ---
Building
—Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
(DO NOT include original valuation)
Contact E-Mail:
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: $
prov d International Building and Residential Codes and other
or ran es of the Town applicable thereto. Total: $
Owner/• rr'. representative Signature(Required)
ell
Date Received:
21-Apr-2017