HomeMy WebLinkAboutE17-0003.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL' Vail, CO 81657
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: /"
2733 /�5') /JPi 64-1 mu 1 dc '- Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name:' dc row,vJ'/o Electrical Permit#: 7 —000 3-
Project Information:
Owner Name: S Fr—d__ /14 C ,( Lot#: Block# Subdivision:
Parcel# 21 C 3 )4 3140 Le
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
400 LgD 5PaI-iI443 (3) 4-T 57/914
Contractor Informationa}
JltI�'1 61' ,6677.4 ..1 /� �1� CCoSt , r 1� �.i4DD ►�77f1n�ll�Ir
Business Name: �L ! ✓ _
Business Address: A C, &2) 72 -p � �C �3 �` �P�� 'r -t r�� (
City `j 1ili-e- C 6111 f Ob l State:/ Zip: R r0 If 2 c/f� /Z AA't_io-6475 TO.,�2L L >'~'72 j WITT5
Contact Name: ONA-0 �(
O /vQ 10 6'' +1 g�.�5L c of iikl- > leer int/ S
Contact Phone: /q7 --
0 3 9O 11-73 ACJ !' 41/1-1-1— --dSo 1,41175
Contact E-Mail: L9 i e< l C� +�f Q`
MAG '�i-444',CA (use additional sheet if necessaeovu �o u frI hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes q)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 structure according to the town's zoning and subdivision (R
�
Addition on( ) Remodel//��, Repair(�)
codes,design review approved,International Building and Residential New(C)
Codessaan other ordinances of the applicable thereto. Other(C)
Owner Owner's Representative Signature(Required) Type of Building: Single-Family(C Duplex(C
Applicant Information / Multi-Family RI Commercial (C) Restaurant(C)
NAM
Other r)
®/lV 0 /10
Applicant Name: rJ
r� t /�j �_/) Provide BOTH square footage of area of work
Applicant Phone: 5 r IvtiY� i 1� �l t✓'� _ AND Valuation(Labor 8.Materials)
Applicant E-Mail: / ( i t l i
Amount of SQ Ft.: 2�'� S
Additional Authorized ProjectDox Users 3o,L
Electrical$: 7S0
Full Name:
E-Mail:
7
Date Received:
Full Name: RECEIVED
E-Mail: f
For Office Use Only: AN 201
Fee Paid:
Received From: TOWN of Vail
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec