HomeMy WebLinkAboutE16-0045 Application_1.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIL
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan I Site plan showing proposed work _Occupancy Group listed on plans
_Load Calculations and one-line diagram when loads or circuits are being added _Bu`Iding Type
NOTE:For Multi-Family and Commercial bu?dings—plans and caiculat'ons must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address-.
1 i Q 1 \ Q {} 14 ( ' Project#: - -----
i(Number) (Street) (Sui ) ' Building Permit#: B16-0097 '
Building/Complex Name: -•!' e Electrical Permit#: E16-0045
Project Informatio
Owner Name:- _ Le1A-:_ t fi }I-`
Lot t: Block# Subdivision:
Parcel# 2_1 l r0 /" ` - _____ ---- -----
I(For Parcel#,contact Eagle County Assessors Office at(970)728-8640 or visit Define Scope and Location of ork:
f www,eagiecounty.uslpatie)
Contractor Information 4F/eck- c' " t ��/1i.,
Business Name:
-- F' ty,
Business Address: n 3 I /IP , /L��c_c C( 1 CcC-,�.t)I ),L
lilt
City1-1
, - i - Stale: , Zip: S iiiri
Contact Name: V 0)1„11 ' ,v v5 r . /
Contact Phone: _ _
Contact E-Mail: i. M • _1- . (use additional sheet if necessary)
I hereby acknowledge that I have read th`.s ap. • ation,filled out in full the Includes Temporary Service: ( es ( ) No
Information required,completed an accurate plot plan, and state that all
the information as required is correct. I agree to comply w;th the infor-
mation and plot plan-to comp:y w;th all Town ordinances and state laws, Work Class:
and to build this structure according to he town's zoning and subdivision
codes,design review approved.Inte tional Building and Residential New( ) Addition( Remodel( ) Repair( )
xCodes and other o an of t ^cable thereto. Other
Type of Building: Single-Family( ) Duplex( )
Owner/Owne s "epresntative Signature(Required)
Applicant Informatio Multi-Family 44 Commercial( ) Restaurant( )
Other( )
Applicant Name: -(7 ' _ - ..--1
Provide BOTH square footage of area of work
Applicant Phone: __-- AND Valuation(Labor&Materials)
Applicant E-Mail: W <.e. /(5) e' i'C 01`4.1 Amount of SQ Ft.: I
•
Additional Authorized ProjectDox Use '-')7
Electrical$: - ,l _ ..
Full Name:
E-Mail: __ _ _
Full Name: j Date Received:
E-Mail:
For Office Use Only:
Fee Paid: ____
Received From:
Cash_ Check# -
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec