HomeMy WebLinkAboutE16-0198 Application.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL E 57
Tel: 970-479 2Vail, CO 139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements including Heat Tape Installation
_Floor plan I Site plan showing proposed work _Occupancy Group listed on plans
_Load Calculations and one-line diagram when loads or circuits are being added Building Type
NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
333 Beaver Dam Rd Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Beaver Dam One Lines
Electrical Permit#: 816-0198
Project Information:
Owner Name: Paul G Smith Revocable Trust Lot#: Block# Subdivision:
Parcel#210107112006
(For Parcel#,contact Eagle county Assessors Office at(970)328-8640 or visit l Define Scope and Location of Work:
www eaglecountyuslpatle)
- �- Service repair upgrade.
Contractor Information
Business Name: Triangle Electric
Business Address: PO Box 4068
City Frisco State: CO Zip: 80443
Contact Name: Natalie Davis
Contact Phone: 970-453-5424
Contact E-Mail: natalle@triangleelec.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (()Yes 'CO No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor-
,oration an ;plot plan,to comply with all Town ordinances and state laws, Work Class:
and to buji this structure according.to the town`s zoning and subdivision New(0) Addition(C) Remodel(C) Repair(0;)
codes,,.d leviewapprev Inte.r4atinalBuilding and Residential
Coi5e4nd o er ordtnanggs. the. otiv, . pplicable tereto..., Other(C7)
Owner/OwnersFt jsentative Signature(Required)
Type of Building: Single-Family(C) Duplex(C)
Applicant Information Multi-Family(C) Commercial(Q Restaurant(0
Applicant Name:
Natalie Davis Other 0:.)) Lift Station
970-453-5424 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: natalie@triangteelect.com 10 SQ FT
Amount of SQ Ft.:
Additional Authorized ProjectDox Users Electrical$:7,000.00
Full Name:
E-Mail: 1
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec