HomeMy WebLinkAboutE16-0138 application Department of Community Development
75 South Frontage Road West
TOWN OF VAIL " 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:
( 1�Q�CJ�,�[} faA-C1' D( — �j Project#:
(Number) (Street) 1 (Suite#)
Building Permit#:
Building/Complex Name:
Electrical Permit#:
Project Information: I" c,
Owner Name: ✓C INIV S t 1SSG(✓ LLL. Lot#: Block# Subdivision:
Parcel
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.uslpatie) ,�f
Contractor Information _54a Cl��i 'LC!Uhs
Business Name: �l'j 5 gLa[JLg4
Business Address: ( ►`Yl.�r'I T J
City _State: Zip:
Contact Name:
Contact Phone:
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: (' )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( ) Addition Remodel( ) Repair( )
Codes and other ordinances of the Town applicable thereto. Other( )
X
Owner/Owner's Representative Signature(Required) Type of Building: Single-Family{'. Duplex
Applicant Information Multi-Family(( ) Commercial(;'') Restaurant(; )
Applicant Name: Other 4 )
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: / 971/fi
Additional Authorized ProjectDox Users
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