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HomeMy WebLinkAboutE16-0169.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 IK,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 EIectrical Engineer Project Street Address: Q 7r7[� /7O.-7--.(4--c9 A44-,/ : Project#: 1 (Number) (Street) (Suite#) Building Permit#: Building/Complex Name: ./Z/0,41.,e... Electrical Permit#: Project Information: _ Owner Name: r„>vG%Lee./74/44-y 11 Lot# ,3 Block# Z Subdivision: o itiio wfc Parcel# Z10/m 4.3 m Zo/!� (For Parcel if,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: ' www.eaglecounty.usipatie) Contractor Information • /41...2,43A'G"4' 7��L af,e,v Business Name: , '1 77/1 G 7—z/ • /4 ©r Business Address: 24. ,Z. •Mrd 7 J'— ''"a ��`^� riZa,e City fey-/Ze- State: CO Zip: 1/!5/ Contact Name: "6" 7 Contact Phone: f2' - 32 F — /Z 53 Contact E-Mail: ZAWrwtiGP.o�i �L„ ,assr7/'..e./L'G-i (use additional sheet if necessary) I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes ( t-'10 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 New( ) Addition( ) Remodel( ) Repair codes;design review approved,International Building and Residential Codes and oth r ordinances of the Town applicable thereto. Other( ) X 'G7.---e>0 - Type of Building: Single-Family( ) Duplex( Owner/Owner's Representative Signature(Required) Applicant information i Multi-Family( ) Commercial( ) Restaurant( ) Other( ) Applicant Name: c G -- Provide BOTH square footage of area of work • Applicant Phone: ,07v -2�/- Ski f 4 AND Valuation (Labor&Materials) Applicant E-Mail: ,0yn /9001,co.'-r. Amount of SQ Ft.: 2cO Additional Authorized ProjectDox Users i Electrical$: /1 G Do Full Name: E-Mail: Date Received: Full Name: E-Mail: _ For Office Use Only: I_F i. v\v7 Fee Paid: 13 Received From: Cash Check# fi AUG' 2 5 2016 11 ,l rr CC: Visa/MC Last 4 CC# Auth # J Rev.2015-Dec "SOWN OF VAiL