HomeMy WebLinkAboutE16-0062 Application.pdf Department of Community Development
75 South Frontage Road West
TOWN OFVAiL i 57
TeL 970-479-2139 Vail, CO
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:
93 K,..1,2_ Project#: /
(Number) (Street) (Suite#) Building Permit#: -3) (6-00 7 (--{'� "
Building/Complex Name: Electrical Permit#: E 1(l •aDu d
Project Information:
Owner Name: Lot#: _Block# Subdivision:
Parcel# -10 1 O Z. Q. 1 301 O _
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: Pcz�)C1//6--
www.eaglecounty.us/patie)
)
Contractor Information / /eie 00 7
/_7 �%')/ /te7
Business Name: �i/C-.. 4/1/a�G&/.'r:/(4 1�'�� � T.�IC's/ � D/rG// }�FLL`�
Business Address: P.-0 ,6 $c ::/<5'3—
City 4-7416/72-2-7State:( 2. Zip: 616 3/ Ll I, //'2_ 216/71V ,/y'RIZ,,.
Contact Name: (34/5 /!71 /671)4 _
Contact Phone: 097-0 5 -Co `Z 6 I0-745)c, i
Contact E-Mail: eja b e. ef�'{/'nek'electil c.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes No
information required,completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this struc .r.&—according to the town's zoning and subdivision New Addition Remodel Repair
codes, desi•• iew aper. ed,International Building and Residential ( ) ( ) ( p ( )
Code.other or.'-.nce of the Town applicable thereto. Other( )
Over/Owner's Representative Signature(Required) Type of Building: Single-Family( ) Duplex( )
Applicant Information Multi-Family( ) Commercial ( ) Restaurant(tJf
Other( ) �1
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: -_ AND Valuation (Labor&Materials) !
Applicant E-Mail: 'Fr
Amount of SQ Ft.: 50
1 Additional Authorized ProjectDox Users Electrical$: 1006,. 4)6)
Full Name:
E-Mail:
1 Date Received:
Full Name:
E-Mail: riCEOVE0For Office Use Only:
Fee Paid: APR 2 7 Z 16
,tikeeelived From: /�
Cash . Check# v - t
CC: Visa MC Last 4 CC# TOWN OF VAIL
/ Auth # ---
Rev.2015-Dec