HomeMy WebLinkAboutB15-0456_E15-0040_1447775760.pdf Department of Community Development
75 South Frontage Road
TOWUAit Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL. PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
a� Floor plan/Site plan showing proposed work
sad Building Type
es/ Occupancy Group listed on plans
o/ Load Calculations and one-line diagram when loads or circuits are being added - Mo lc xJs/ rr,>Y1 ,t.deItt
NOTE: For Mufti-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Pro'ect Street Address:
U . Yt ,,, pr. Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Electrical Permit#:
Lot#: Block# Subdivision:
Contractor Information:ifn n
Company: D o. AI r. Mt
(� I Define Scope and Location of Work:
Company Address: \', 0, D o K (�1� 1 {J�
City: C7 l a M State: C O Zip: 6/‘) Ftrz,Vat l vj y b rc 4 -cavi t
Contact Name: OV,Ke. .�
I -tom v
ra 7VVLS
Contact Phone: 9 'e' G- 3� -`f o 0- (use additional sheet if necessary)
• E-Mail ice' Q c.„13 le zinc. .co(v,
Includes Temporary Service: 0)Yes l No
I hereby acknowledge that I have read this application,filled out in
full the information required,completed an accurate plan and stat Work Class:
that all the information as required is correct. I agree to comply with I New() Addition RemodelGKepair°
the information and plan,to comply with all Town ordinances and
state laws, and to build this structure according to the town's zoning Other()
and subdivision codes, design review approved, International Build-
'
uild �r.. _.m....
ing and Residential Codes and other ordinances of the Town appli- Type of Building: Single-Family 0 Duplex
cable thereto.
Multi-Family Commercial() Restaurant()
X
estaurant()-; f�-- Other®
9 (required) Provide BOTH square footage of area o_a.
Owner/Owner Signature of work
»,, AiD Valuation(Labor&Materials)
Project Information
Parcel#: ,1
.� Amount of SQ Ft: -1344 ; ,
° ��� � �� � ��
(For parcel#,contact Eagle County Assessors Office at 970-328-8640 or Electrical$: , G-00
visit www.eaglecounty.uslpatie)
Tenant Name: 5 lt.2 2r-o(,e-1-4-i
l Owner Name: ' Z2. ?t-o e-1`4'vPSk &L.L Date Received:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# exp date:
Auth #
Rev. 2015-Oct