HomeMy WebLinkAboutB17-0094_E17-0045_1491512820.pdfTDWNOF~ Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan I Site plan showing proposed work
_Load Calculations and one-line diagram when loads or circuits are being added
_Occupancy Group listed on plans
_Building Type
NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
·~:f~st;~~tA~:~7·c;~l-I·~--;~--------~--Project#:---------------
(Number) (Street) (Suite#) Building Permit#: __ 'b __ i_f~'-_O_'_l_)<j"--lf ____ _
Building/Complex Name: Go/ d.1...-. fi?..A.. I(, W:'ltlD :)' r:: .. r:t -O() LJ.L'. Electrical Permit#: --~'-~·•~-1~------(,.-.:..::'.) _____ _
. Project Information:
. Owner Name: _1$~e.~.('\~•-+~o __ LL __ c. _________ _ Lot#: Block# Subdivision:--------.._ __________________________________________ .....
Parcel# '2-Lai -()fjz; JI 0195-; 71 0) -ofYJ--7 I -OOC:, .
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
· www.eaglecounty.us/patie)
· Contractor Information
Business Name: ~cA.Joo El e..d·r :c.. 1/J ~
'Business Address: O'f"i"J Cvfbi"" !.A->L.•.;1.:t Pesr f?_J
:city GMpSutYl State:_Cv __ Zip: '6165''1
: Contact Name: ?a...i..-i .:s:·~bD
• Contact Phone: '~'1 D ~.3'-1 D _, 4.) I l
l Contact E-Mail: ,S-.,.;;d:>o e.lec..+ c; ·, .. 47 Ct..o / "' {_,,,; rn
I hereby acknowledge that I have read this application, filled out in full the
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,
and to build this structure according to the town's zoning and subdivision
codes, design review approved, International Building and Residential
. Co~d other ordinances of the Town applicable thereto. . x . ro.A-L{__ s;~
Owner/Owner's Representative Signature (Required)
. Applicant Information
Applicant Name: ------------------
.Applicant Phone: ------------------
.Applicant E-Mail:-----------------
, Additional Authorized ProjectDox Users
·Full Name: -------------------
•. E-Mail: ___________________ _
Full Name: -------------------
E-Mail:. ____________________ _
'ForUffice USe'Uiilf:·-----------------··--------·------·-·· ------·----
Fee Paid:-----------------
Received From:----------------
Cash Check # ____ _
CC: Visa / MC Last 4 CC # ___ _ Auth# ___ _
Rev. 2015-Dec
Define Scope and Locati~n of Work: ---.,-------
Y'l1t 1' s c.-. e:-/.,J,..,u-l 1""voio;f\t1
(use additional sheet if necessary)
Includes Temporary Service: (Q Yes 0> No
Work Class:
New (0) Addition (C) Remodel • Repair (0)
Other (0) ______________ _
Type of Building: Single-Family (Q Duplex
Multi-Family(@ Commercial CO Restaurant (Q
Other Q) ________ _
Date Received: