HomeMy WebLinkAboutB13-0465 REV3 transmittal Department of Community Development
75 South Frontage Road
Vail, CO 81657
iOWN OF VAtL � rei: s�o.a�s.z�zs
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 hvo hour minimum building review
fee of $110 will be charged upon reissuance of the permit.
__ .. . __. . . . .._ _ �._. _._--_ .__
�ApplicationlPermit #(s) information applies � � -
to Attention: Q Revisions
� Response to Correction Letter
! Double Diamond shoe store Martin Haeberle �attached copy of correction letter ,
� ( /� ({/' � Deferred Submittal
Y � � " Ib� � QOther ,...
��Project Street Address: � � ��;
' 291 Bridge St C-2
' (Number) (Street) (Suite #) _
�
�'� Building/Complex Name: Lodge Plaza �r Description of Transmittal/ List of Changes, Items Attached: ,
� ,_ w ,, _ _ . __ __ __._._ ..._ __; Revised wall and ceiling assembles details.
; Applicant Information '�
;� (architect, contractor, owner/owner's rep) � �,.
� Mark Hallenbeck
� Contact Name: ,.
! Address: 120 Willow Bridge Rd Suite 7 � ..
i �i�, Vail State: �O� Zip: 81657 j ��
� Contact Name: Mark Hallenbeck t'; (use additional sheet if necessary) , '�
1 ,.. _
� Contact Phone: �19 499-9248 � i Building Permits: � �� ��
markh rock mountainconstructiongroup.com ' Revised ADDITIONAL Valuations (Labor & Materials) ,
�; Contact E-Mail: @ Y ! (DO NOT indude original valuation) ���..
i I hereby acknowledge that I have read this application, Tilled out '_; Building: $ 1225.00 �
a in full the information required, comp accurate plot plan, ;
C and state that all the information as r ired is co t�I agree to ; plumbing: $
'��. comply with the information and plot plan, a oompty with al wn i, '��
� ordinances and state laws, and to bu' �s re acwrding !� ElectricaC $ ..
: to the town's zoning and subdivision des, esign � w ap-
�; proved, International B ' ing d Reside ' I Codes a r � Mechanical: $
� . ordin�a so e ppl� �ble e . ��..
; X �/ `;, Total: $ 1225
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I, Ow dOwner's epresenta ive Signature (Required) ' -� ---- ����� ��-�� �"-�� ���- -
; . . _._.. . ..._.. '�; ate Received:
For Office Use Ouly:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # exp. date:
Authorization #