HomeMy WebLinkAboutE16-0146.pdf Department of Community Development
75 South Frontage Road West
TOWN OF Ail ` 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
ProjectStreet Address:
iii q1 t )V Old tius 101.V1e A Project#: �y
(Number) (Street) (Suite#) Building Permit#: t92 é7 f /
Si
Building/Complex Name: Electrical Permit#: U► `--•G/ % (p
je Inrmation: 1((
Owner rNammr
Lot#: I Block# h Subdivision: /a14orir.
Owe: owl, '+
101 � l
Parcel# � 13 6 'a ' C)3 OC 6-
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www eaglecounty uslpatie)
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Contractor Information � ,
Business Name: lino A -"leak �i(e t_t ra e--
Business
A �►�� �• • ��i-++[ a S•
,_t +• ?ott.•rj -
Business Address: °�0`� �.11,�4- Ave ` �K`'t',f` e� �� �'��' r
City ; 1`� State: (0 Zip: C'°/I b SG '�2) Fwd J'k" 424 y d BEV ci-k %f'\ ‘it 1-107a�
Contact Name: ! :04'1�%cS� -. Velda) `� ?im(- ‘0,e cr vLC, -4 0 Coel p_
Contact Phone: /7c 77i' Z ac i
Contact E-Mail: a •talk (use additional sheet if necessary)
�4•J�ld�r-���.k � ti�r�l I
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((') Addition(C) Remodel( Repair(C)
codes,design review a..roved,Inter - 'Oa!Building and Residential 111
/Codes and of r..-'-'ce . own applicable thereto. Other(r)X
t,,, Type of Building: Single-Family(C Duplex(
Owner/Owner's Re• -r =five • tura(Required)
Applicant Information Multi-Family((---) Commercial(c--) Restaurant(C)
Other ')
Applicant Name: . .
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: 1,4400
Additional Authorized ProjectDox Users
Electrical$: ii r coo
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