HomeMy WebLinkAboutE16-0196 Application.pdf Department of Community Development
75 South Frontage Road West
) Vail, CO 8157
TOWN OF VAIL A Tel: 970-479-21639
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:
153 Beaver Dam Rd Project#:
(Number) (Street) (Suite#) Building Permit#:
Lines
Building/Complex Name: Beaver Dam One Electrical Permit#: E16-0196
Project Information:
Owner Name: Prima Properties LLC Lot#: Block# Subdivision:
Parcel#210107112002
(For Parcel#,contact Eagle County Assessors Office at(970)328.8640 or visit Define Scope and Location of Work:
www eaglecounty usipatle)
T �:. �r �. _._�._ Servicerepairupgrade.
Contractor Information
Business Name: Triangle Electric
Business Address: PO Box 4068
Frisco CO 80443
City State: Zip:
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 0"))No
Information required,completed an accurate plot plan,and state that ail
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to buil •his structure according to the town's zoning and subdivision New(0) Addition(C) Remodel(C) Repair(61";)codes,deft n review approved,Inte,,((n hone!Building and Residential
Codevtsd ttier ordinance .the ON pliable jh eto. Other(0)
' y , -te :,«.,
�;z r Type of Building:
" ' [ .:_ R Single Family(0 Duplex(C) 1
Owner/Owner's Re r sentative Si nature(Required)
Applicant Informi n
Multi-Family(C) Commercial(0 Restaurant n
Natalie Davis Other Vii) Lift Station
Applicant Name: Provide BOTH square footage of area of w
970-453-5424 ork
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: natalie@triangleelect.com 10 SQ FT
Amount of SQ Ft.:
Additional Authorized ProjectDox Users7 000.00
Electrical$:
Full Name:
E-Mail: 1
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec