Loading...
HomeMy WebLinkAboutelectrical permit_21.pdfTOWllUF9" Department of Community Development 75 South Frontage Road West Vail, CO 81657 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 _Load Calculations and one-line diagram when loads or circuits are being added _Occupancy Group listed on plans _Building Type NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: 1~~6 c.J. C-ier-e. Cr~e\( P<: Project#: ___________ _ (Number) (Street) (Suite#) Building Permit#:-------------- Building/Complex Name:--------------. Electrical Permit#: Project lnformat!.s.9: Owner Name: l:Y,4:'\l\T: f Hollie"* Parcel# Z loJ-I Z. '.3-0 7-0 Z.S- (For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit www.eaglecounty.us/patie) Contractor Information Business Name: ~ tf er £/t!C.fr;c_ 1 J I~ , Business Address: Po 'Bo)( Z.2.7'-/ City GypsiJ/V\. state: Co Zip: 816S7 Contact Name: t\-AN K Lu#--e r Contact Phone: 9 7D -3 <JO -6 9</6 Contact E-Mail: Li.,._'fkr£/~c...tr,-c...~(6o. c.°"'1 I hereby acknowledge that I have read this application, filled out in full the 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, and to build this s ture acco ding to own's zoning and subdivision codes,. design r w appro , I 1onal Building and Residential Codes an ordina own applicable thereto. X.___,~'-f-ti~'---'-''1-Tb"'---------- own epresentative Signature (Required) Applicant Information Applicant Name: IJMK.. L.,../<'!.C Applicant Phone: 97t? ;510-6 ~'76 Applicant E-Mail: LAtkr eledr, <.@.. \/c=t ~oo. c~ f Additional Authorized ProjectDox Users Full Name: ------------------- E-Mail:. ____________________ _ Full Name: ------------------- E-Mail: ____________________ _ For Office Use Only: Fee Paid: _________________ _ Received From: ______________ _ Cash Check# ___ _ CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _ Rev. 2015-Dec -------------- Lot#: Block# Subdivision: _______ _ Define Scope and Location of Work: _______ _ J~f,'or 12.~de// (use additional sheet if necessary) Includes Temporary Service: ( ) Yes {)4No Work Class: New ( ) Addition ( ) Remodel )X> Repair ( ) Other( ) _______________ _ Type of Building: Single-Family ( ) Duplex ( ) Multi-Family ( ) Commercial ( ) Restaurant ( ) ' I Other ( ) ________ _ ! Provide BOTH square footage of area of work HAND Valuation (Labor & Materials) Amount of SQ Ft.:~/8~00 __________ _ : Electrical$: lb,DoO .. oo Date Received: ~©~OW~ n JUN 2 3 2016 LJ TOWN OF VAIL