HomeMy WebLinkAboutElectrical permit_3.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIt 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:
2109 N. Frontage RD Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: City Market
Electrical Permit#:
Project Information:
Owner Name: The Kroger CO#6200442 DBA City Market Lot#: Block# Subdivision:
Parcel#2103-114-24-025
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Contractor Information
Business Name: TBD
Business Address. -
City State: Zip:
Contact Name:
Contact Phone:
Contact E-Mair (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C )Yes () 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
codes, design review approved,International Building and Residential New(n) Addition (C) Remodel (() Repair(C)
Code other
ordinanpeof the Town applicable thereto. Other(C)
X Type Single-Family(C) Duplex
Own r/Owner's R presentative Signature (Required)
Yp of Building: p (�
Applicant Information Multi-Family(C) Commercial ((:) Restaurant(C)
Applicant Name: Eleanor Maralit
Other O._
(303) 759-5777 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: eleanorm@a naosdg.com 915
Amount of SQ Ft.: _
Additional Authorized ProjectDox Users $17,000
Electrical $:
Full Name.
E-Mail:
Full Name Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From.
Cash Check #
CC: Visa/ MC Last 4 CC # Auth #
Rev.2015-Dec