HomeMy WebLinkAboutB17-0081_E17-0037_1491318600.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 Inciudina 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:
LI (deo,vee I>cA,tnn RUoJ Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: N/A
Electrical Permit#:
Project Information:
Owner Name: K e i f'` C(, Lot#: Block# Subdivision:
Parcel# Z.1c -del- 13 - 037
(For Parcel 9,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: 3 Sq gecu Vie r coo, c.ci
www.eaglecounty.us/patie)
Contractor Information n �evnd 11� �/ ("eW►avP Anel hePlohc f
Business Name: E/. Q. P 61061-(, , �^ Otl' efrC-rte'Cat Sy S4 WtS- Re ACe Wi+ a 1I
Business Address: 2-0C1 t .h1 V'/l� etUO A-2v.! ne °.IPI: r-Jcr,�I $Y5leIMS o C(tif`lrev,+
City State: CQ Zip: $/6 3 2
Contact Name: `1<e h'e'm p r
Contact Phone: 4?v-�47/-
Contact E-Mail: &kr,ulq r P(c c h;l n,fn, (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (—)No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision
codes,design review approved,International Building and Residential New(% Addition( ) Remodel(r) Repair( )
Codes and other ordina of the Town applicable thereto. Other(C)
X
Owner/O er' epresent tivre(Required) Type of Building: Single-Family(: , Duplex((
Applic Information Multi-Family(C) Commercial(: ) Restaurant(C)
Other C)
Applicant Name: C Ot,0I grli,zevna n
Provide BOTH square footage of area of work
Applicant Phone: 9-/C, - i{C{c, -7074
AND Valuation(Labor&Materials)
Applicant E-Mail: n" ,rj(rA (AI V&A I4 C
Amount of SQ Ft.: GS'a°
Additional Authorized ProjectDox Users {� i I ���
(Al /L ho(rat� Electrical$: J6
Full Name:
E-Mail: IA(c e tAl f b i t; (+ . C<Y h
Full Name: &lo St eloke h aI Date Received:
E-Mail: 1 i i P (n -CvW 1
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth#
Rev.2015-Dec