HomeMy WebLinkAboutE16-0197 Application.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAlL'
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan/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:
193 Beaver Dam Rd Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Beaver Dam One Lines
Electrical Permit#: E16-0197
Project Information:
Owner Name: Marshall, Hines M.Jr Lot#: Block# Subdivision:
Parcel#210107112003
(For Parcel#,contact Eagle County Assessors Office at(970)328.8640 or visit ! Define Scope and Location of Work:
www.eagiecauntyuslpatie)
Service repair upgrades.
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: natalie@triangleelec.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes a 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-
p rnation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and build this structure according to the town's zoning and subdivision
cs + sign review approv nternational Building and Residential New( ., Addition(C.) Remodel(C) Repair(G)
ode .d other oriirices f th gown applile thereto. Other(0)
Owner/Ownr ' Representative Signature(Required) Type of Building: Single-Family(C) Duplex(0
Multi-Family(C) Commercial(C] Restaurant(C)
Applicant In •rmation
Applicant Name:
Natalie Davis Other j'!.)) Lift Station
970-453-5424 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: natalie@triangleelect.com 10 SQ FT
Amount of SQ Ft.:
Additional Authorized ProjectDox Users Electrical$:7,000.00
Full Name:
E-Mail:
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
1