HomeMy WebLinkAboutB13-0465 REV2 Transmittal.pdf Department of Community Development
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75 South Frontage Road
TOWN OF VAIL 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 Dave Rhoades O
attached copy of correction letter
Deferred Submittal
B13-0465 Other
Project Street Address:
291 Bridge C2
(Number) (Street) (Suite#)
Building/Complex Name: Plaza Lodge Description of Transmittal/List of Changes, Items Attached:
Change to ceiling tile to 1 hr rated ceiling tile. Included are AEC's mechanical
Applicant Information
sheet and the G267 assembly from the UL manual.
(architect,contractor,owner/owner's rep)
Contact Name: Mark Hallenbeck
Address: 120 Willow Bridge Rd
City Vail State: Co Zip. 81657
Contact Name: Mark Hallenbeck (use additional sheet if necessary)
Contact Phone: 719 499-9248
Building Permits:
rou mounta
rock inconstruction com Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: markh @ y g p' (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $1,650.00
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 and plot plan, to comply with all Town
ordinances and state laws, and to -structure according Electrical: $
to the town's zoning and subdiv odes, de�s,lg�review ap-
proved, Internati nal B ing and Res tial Cod s and other Mechanical: $500.00
ordina f pli t
X �� c Total: $NaN
Owner/Owners epresenta a Signature-VTbquired)
Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#