HomeMy WebLinkAboutB17-0189.001 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: BI 7-0189
(*)Revisions )Response to Correction Letter attached copy of correction letter
)Deferred Submittal ( )Other
Project Street Address:
1798 Alpine Dr Description of Transmittal/List of Changes, Items Attached,
Indicate changed plan pages:
(Number) (Street) (Suite#)
Building/Complex Name: N/A Remodel of roof structure on East roof line to
make space more useful
Applicant Information
(architect,contractor,owner/owner's rep)
Contact Name: Matthew Kienzle
Address: PO Box 941
City EagleState: CO Zip: 81631 (use additional sheet if necessary)
Contact Name: Kim Sargent
858-869-4809 Building Permits:
Contact Phone: Revised ADDITIONAL Valuations(Labor&Materials)
Contact E-Mail: kim.kienzleconstruction@gmail.com (DO NOT include original valuation)
Building: $ 12,500
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: $
proved, International Building and Residential Codes and other
orcin: c-: ofwn applcable thereto. Total: $
Owner/Ow'ss Repre-enta lye ature(Required)
ort &V,A( Date Received:
21-Apr-2017