HomeMy WebLinkAboutB13-0465 REV1 TRANSMITTAL.pdf Department of Community Development
75 South Frontage Road
TOWN OF VAIL
0 Vail, CO 81657
Tel: 970.479.2128
www.vailgov.com
Development Review Coordinator
TRANSMITTAL FORM
Use this form when submitting additional information for planning applications or 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.
Application/Permit#(s) information applies
to: Attention: Q Revisions
(�Response to Correction Letter
Double Diamond Shoe Store David Rhoades attached copy of correction letter
O Deferred Submittal
Aaj=,/4 C � O Other
Project Street Address:
291 Bridge St. C-2
(Number) (Street) (Suite#)
Building/Complex Name: Lodge Plaza Description of Transmittal/List of Changes, Items Attached:
Changes to permited plans. New landscape plans, Building Store front
Applicant Information
window and door details and new interior walls and electrical details.
(architect, contractor,owner/owner's rep)
Contact Name Mark Hallenbeck
Address: 120 Willow Bridge Rd. Suite 7
City vail State: Co Zip 81657
Contact Name Mark Hallenbeck (use additional sheet if necessary)
Contact Phone: 719 499-9248 Building Permits:
kh k taittion rou com Revised ADDITIONAL Valuations(Labor& Materials)
Contact E Mail. mar @ roc y moun nconsruc g p' (DO NOT include original valuation)
I hereby acknowledge that I have read this application, filled out Building $3000.00
in full the information required,completed an accurate plot plan,
and state that all the information as required is correct. I agree to Plumbing $
comply with the information anc1j2tc1VwL comply with all Town
ordinances and state laws, a build this struc re according Electrical: $700.00
to the town's zoning and divisio es, des n review ap-
proved, Internationa uildi d Residen des and other Mechanical. $
ordin t w pp ble ther
X Total: $3700
Ow er/Owner's Represe ative Signature (Required)
Date Received:
For Office l +e Onh
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date: _
Authorization #