HomeMy WebLinkAboutB16-0496 Application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL i Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
BUILDING PERMIT APPLICATION
(Separate applications are required for Electrical,Alarm,Sprinkler&Public Way)
Project Street Address: Project#:
4410 Columbine Dr East
(Number) (Street) (Suite#) DRB#: r nn
Building/Complex Name: White River Estates Building Permit#: 6 I '04 I LD
Project Information: Lot#: Block# Subdivision:
Owner Name: Kurt and Gail Brandt
Parcel#2101-122-01-018
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Work Class: New(0) Addition(CD) Alteration (CI)
www.eaglecounty.us/patie)
Contractor Information Type of Building:
Single-Family(0) Duplex(®) Multi-Family(0)
Business Name: Cohen Construction Inc.
Commercial(0) Other(0)
Business Address: PO Box 1889
City Edwards State: CO zip: 81632 Work Type: Interior(®) Exterior(0) Both(0)
Contact Name: Jeff Cohen
Contact Phone: 970-331-9751 Valuation of
Cohen cohenconstructioninc.com Work Included Plans Included Work
Contact E-Mail:1
I hereby acknowledge that I have read this application,filled out in full the Mechanical (®)Yes (a)No (( Yes (®)No $15,000
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor- Plumbing ®)Yes (0)No (®)Yes (Q)No $24,000
mation and plot plan,to comply with all Town ordinances and state laws,
and to build this structure according to the town's zoning and subdivisions� `,No $120,000
codes,design review approved,International Building and Residential Building (K))Yes (0)No (®)Yes (
Codes and other ordinances of the Town applicable thereto.
/ Cg'b�" ;Total Value of all work being performed: $$159,000
X ; ' ;(value based on IBC Section 109.3&IRC Section 108.3) --Own10 n-'s - .resentative Signature(Required) Detailed Scope and Location of Work: Whole home remodel
Applicant Information
2-1/2 new bathrooms, new kitchen,fireplace insert, new
Applicant Name: electrical work per electricl permit app, reconfigure walls,
'Applicant Phone:
no structural walls anticipated, relocate baseboard heat
Applicant E-Mail:
as needed, new floor coverings, new grab rail at stairs,
Additional Authorized ProjectDox Users
Full Name: new smokes and CO2 detectors as required.
E-Mail:
Full Name: (use additional sheet if necessary)
E-Mail:
(use additional sheet if necessary)
Date Received:
For Office Use Only:
Fee Paid: /( •7O •
Received From: RECEIVED
Cash Check# DEC 14 2016
CC: Visa/MC Last 4 CC# exp date:
Auth # Town of Vail
Rev.2015-Dec