HomeMy WebLinkAboutE16-0048 Application_1.pdf Department of Community Development
1 75 South Frontage Road West
s, Vail, CO 81657
TOWN OF VAI
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 Commercia-bul'dings—•plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street •dire1/
.,2_nc , - r Project#:
(Number) (Street) (Sui - ) Building Permit#: B16-0100 _
Building/Complex Name: r /,r - . 4,_
Electrical Permit#: E16-0048
Project Information:
f-- ....---
jOwner Name: i .• Lot#: Block# Subdivision:
_ l
-(2:4-2 .. ---.
(For Parcel#,contact Eagle County Assessors o ce at{970)328-8640 or visit D fine Scope and Locati f Work:
www.eeglecounty.uslpatie)
Contractor Information
\ ACG ►'c
I(J 1-1 Yin f )-i-., _ OCA ,vi
Business Name' E ,
Business ddre s: A - ! II ""
City State: c Zip: .--_...-
Contact Name: 0 {v rak1tiS€tii L _ —,
€Contact Phone: _ _ . _ a, ir�
Contact E-Mail: i/-- . - . ,r i 4.- additional sheet If necessary)
I hereby acknowledge that I have read th's appl°cation,filled out in full the Includes Temporary Service: ( > es ( )No) Addition(Remodel( ) Repair( )
Information required,completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply with the infor-
mat •
ion and plot plan,to comply with all Town ordinances and state laws. Work Class:
and to build this structure accord' g to the town's zoning and subdivision New(
codes,design view -p.roved nternational Building and Residential
' Codes and • = o • anc- .1, -- • -..livable thereto. Other( )
X R ...—'—''''"'n."—"` — _ Type of Buildin : Single-Family( ) Duplex( )
Owner/0 ne Representative Signature(Required)
Applicant Information Multi-Family(VS Commercial( ) Restaurant( )
I Other( )
Applicant Name: te P ; , _ -------- ------
Provide BOTH square footage of area of work
,Applicant Phone; AND Valuation (Labor&Materials)/^�
•Applicant E-Mail: • •• c . -9' .r/ ,. 19 - • ' '- Amount of SQ Ft.: / OW _ -
Additional Authorized ProjectDox Users Electrical$; ` c100
-
Full Name:
E-Mail: _ ..._�.--• ---.-.�._,_ .,-- -- -T-
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From: W
Cash Check#___.
CC: Visa/ MC Last 4 CC# Auth #
Rev. 2015-Dec