HomeMy WebLinkAboutElectrical_17.pdf Department of Community Development
75 South Frontage Road West
F URAL Vail, CO 81657
TOWN O
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:
2.. I I N. Froti1T4.&'E NoAp Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: 1+O1-t17A f lk•�� Electrical Permit#:
Project Information:
-r Nle E 11 �1��• t v,&u-. � Lot* Block# Subdivision.
Owner Name: �
Parcel# 2 i O?J ' 114 - 012_
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie) O I E -Toms i P&M.4 � f t o
Contractor Information M�`1 N '\ L
Business Name:
To � �t'g><,,��� LILY >4TMf To Cop.{�c CoMPL1A>4(
Business Address: 1U1%5
City State: ' Zip: � `riAP1
Contact Name: I tJ Net01-Ae 1v1 gN`1 Xi 1®l 4
Contact Phone: •r -N(t4�jv
Contact E-Mail: (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 New(C ) Addition (r) Remodel (Y)f Repair(c)
codes, design review approved,Int mational Building and Residential
Codes a d of r ordinances of th own applicable thereto. Other( )
X Type of Building: Single-Family(C; Duplex(C,
Owner Represent a Signa (e (Required)
Applicant Information Multi-Family(C) Commercial (/ Restaurant(C)
Other C)
Applicant Name: 5 V1A1Agt,5}{A6' 4�Vt''Yff5WipewmeRs
r D. C�tecyOr Provide BOTH square footage of area of work
Applicant Phone: (3ot) 3 -J2.c0cD AND Valuation (Labor&Materials)
Applicant E-Mail: E, A I4 1.4jt7E wirtET'f2. ovlvj Amount of SQ Ft.: > I i000 SF
Additional Authorized ProjectDox Users Electrical $: 7 ? 1 coo
Full Name: 7'UOM.6. E t7ot75Fjt-4
E-Mail T1:2o125te*1 ; VII•)1 - r,oNA
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