HomeMy WebLinkAboutB15-0131_B15-0131 REV1 transmittal_1442256600.pdf Department of Community Development
75 South Frontage Road
0:• "Z)
TOWN OF VAII. 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: 0 Revisions
B15 D131 JR 0 Response to Correction Letter
attached copy of correction letter
Q Deferred Submittal
()Other
Project Street Address:
174 E Gore Creek Dr. 534
(Number) (Street) (Suite#)
Building/Complex Name: Lodge At Vail Description of Transmittal/List of Changes, Items Attached:
Up dated E1.0 and E2.0
Applicant Information
(architect, contractor,ownerlowner's rep)
No Changes to valuation
Contact Name: Rocky Mountain Construction Gruop
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:
markh rock mountainconstruction rou com Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: Y g p' (DO NOT include original valuation)
I hereby acknowledge that I have read this application,filled out Building: $
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 build this structure according Electrical: $
to the town's zoning and subelivision codes, design review ap-
proved. Interna 'sn, z. sing nd Resident des and other Mechanical $
ordin ces • t•e ■ applicabbje-tgetto.
X
ri- Total: $0
Owner/Owner's Representative Signatu (Required)
Date Received:
Fur Office Use Only
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp.date:
Authorization#