HomeMy WebLinkAboutElectrical_16.pdf ---'--
,,,. Department of Community Development
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TOWN OF VAIL.V. 75 South Frontage Road West
Vail, CO 81657
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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
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(Numer (
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b Project#:
(Suite#) Building Permit#:
Building/Complex Name:
Electrical Permit#:
Project Information: e...0 i(2Cd , Lot#: Block# Subdivision:
Owner Name:
Parcel# ,-•>.J(3 j I 1;1? IOC 9_
(For Parcel#,contact Eigle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Contractor Information
Business Name:
el
Business Address: Pe ;3-7)...., 14,72-A, w( .2_T7 If 401-7g.
City Fdlueto S State: /0 Zip:V/3l
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Contact Name: Y)(1,/)
Contact Phone: ?2,0 yoX-6347
(use additional sheet if necessary)
Contact E-Mail:da ye oli.)/,,,, we rq415. git' q,/()4?
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I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes 74 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
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and plot plan,to comply with all Town ordinances and state laws, l Work Class:
an. • build this structure according to the town's zoning and subdivision
c•ses,.'resign review ... ; ed,International Building and Residential New( ) Addition ( ) Remodel" Repair( )
Codes :nd ot o dina rf: e Town applicable thereto.
n ,Other( )
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OwneT/Owner's Representative Signature(Required) ,Type of Building: Single-Family( ) Duplex
Multi-Family( ) Commercial ( ) Restaurant ( )
Applicant Information ,
Other( )
Applicant Name: 1--LVe 5 Pt NYP boot 1-- !
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li Provide BOTH square footage of area of work
Applicant Phone: 9.2. 0 . L-12_ • 0(01 i !I AND Valuation (Labor&Materials)
Applicant E-Mail: ‘-‘17',\IF,...5 a ttbwi...ciev 1__.be 1- mount of SQ Ft.: t -di,i t • b 9-0
Additional Authorized ProjectDox Users
Electrical$: 4s , 000
Full Name: CDCs y tth S i c.-.1 E L '
E-Mail: 5 Ot.VA-K .., 1 LO MIL Ork/FLOP m E NTS •Uc
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec