HomeMy WebLinkAboutE16-0243.pdf 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
Prod t Street Address:\1 Q,
\Ob\ Ic \\ 1 _\� c)c ,At ;2 Project#:
(Number) (Street) (Suite 9 Building Permit#:
Building/Complex Name: Y\C)0'e4;--07\i(e Ccpik 0,7
Electrical Permit#:
Project InformatiorMQ`a-J
Owner Name: ,,1
-C•Col \‹ '(l\) G AG ori Lot#: Block# Subdivision:
Parcel#
(For Parcel#,contact Eagle County Assessors Office at(970)3284640 or visit Define Scope and Location of Work: M dv-e-
www.eaglecounty.uslpatie)
Contractor Information„ ,„�._a , ._ . _ �� 0�k\��� k ��. e "\4 ,
s.
Business Name: A 1/J4)64 T ?e \c 5 C\,,,, ��� OtJ v ��4 Cc ( •)
Busine sAddress: god Easy kd6. a new )12( c`A-c,"`- . OR&o
City ' 1e. nn 00/'' 1
State: CC) Zip: (8\ C60 II9 o1v/�.\ • l„�?a�iroide- -iviCP
Contact Name: R a
' 'U )O6 Pt►^-) ' 42.1\P Ce -
\A-10) W � — G--130
Contact Phone: �C- �`\^
\-.\0.\\-y,---A Contact E-Mail: `�JvA Qe� ' , C 0 v� (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C Yes i((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(k.4 Addition(C) Remodel( Repair O
codes,de i��gnnn review approved,International Building and Residential
/Codes ay ordinances of the Town applicable then o. 1 Other(0)
X �Z1
Owner/Owner's eprese tative Signature(Required) Type of Building: Single-Family(( Duplex(( )
Applicant Information Multi-Family(r Commercial(C) Restaurant(C)
�a� /O Other�i)
Applicant Name: I _ _m w� . �.�..... ._ ._.. . ,li_
C f ,�6_ 7 3� Provide BOTH square footage of area of work
Applicant Phone: ''7 '�" AND Valuation(Labor&Materials)
Applicant E-Mail: T ol.,�tr( e k ' t-t(y1-1'r-Cq I _ co, 'Amount of SQ Ft.: 1166
500
Additional Authorized ProjectDox Users Electrical$: 0
Full Name:
E-Mail:
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