HomeMy WebLinkAboutE16-0166 application.pdf Department of Community Development
• . 75 South Frontage Road West
TOWN OF VAIL- <- Tel:Vail,--479 21159
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: �1
1i° wL ;61'3 �GuC C • Project#:
(Number) (Street) ' 4, I Su(Suite#))/ ' Building Permit#:
/
Building/Complex Name: V V . 5p CC �` 12/
Electrical Permit#:
Project Information: V I / . / S y Tl (/� � O4 Lot#: Block# Subdivision:
Owner Name:
Parcel# 2 C-)k. «- 1�
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: '
v.ww.eaglecounty.us/patie) / ! J
E le i/�c.*a�r ,/OG+ Pr a j e c�(. 1 7'2 E51
Contractor Information J II rr
JET �!!i- rI 3 Vie s 1- - Nes./ e I e V c.7►�ip r CO n.-Lis
,
Business Name: owl / //
06 YS 13...e- 70 he.✓ a br�c.�or Co•..4°V15
Business//�� Address:/ / Ce-4 /tea ,j� ,�,l4.c-A,',.%
/ S D /w /J
City 1.0%9 n.t / State: fri/!//v Zip: 6-53 2 Z /"l C I1, yt e 4j P4 e_ l L 4T S
Contact Name: /D a.v, d 1::),..- b b G 4'" G F.t
Contact Phone: b 12 - 0 - 05 ? 3//
Contact E-Mail: de e `e G i/'.lc-6 /is id“ � KG (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes ( ) No
information required,completed an accurate plot plan,and sidle that all
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 build this structure according to the town's zoning and subdivision Repair
cod- =- ign review approved,International:wilding and Residential New( ) Addition( ) Remodel ( )
Co• —jther ordinances - ii, -••i•-••••a thereto.i Other( )
/ • !Type of B
uildin : Single-Family( ) Duplex
( )Owner/Owner's Representative Signature(Required)
Applicant Information 'Multi-Family4Commercial( ) Restaurant( )
D14.-ii Other( )
Applicant Name: /Q.v•
b�.z'2.fid'D - `�3 Provide BOTH square footage of area of work '
Applicant Phone: / / / AND Valuation(Labor&Materials)
Applicant E-Mail: de:e/'c.-I .c �4/led Lee . "a Amount of SQ Ft:
Additional Authorized ProjectDox Users A .o
Electrical$: 2S, roc,
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# kith #
Rev.2015-Dec