HomeMy WebLinkAboutE16-0207.pdf u Department of Community Development
76 South Frontage Road West
Vail,Co 81667
TOWN OF VA1L
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Includina Heat TEM 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 Add s:
1-7S-0 s- � r ✓ 74) \iii ''` 4 Project#:
(Number) (Street) 4S,yite#} �,15uliding Permit#: B16-0408
Building/Complex Name: )1U6s6 CLA114VM=� E16-0207
Electrical Permit*:
Project Information: /)I - ) Lot#: Block# Subdivision:
Owner Name:
r' r-!l I N
Parcel# (. 1031 t�C�31 O( (
(For Parcel ft,contact Eagle County Assessors Office at(470)328-8640 or visit efin Scope and Locati of Work: _! a ,...P/
www.eaglecounty.usfpatle) LI--
Contractor
. . ,. ., „ .,..,. ,. . . ,. ,...,..KK.. . .. . .... .... (' /J
Contractor Informs n �� /�j j �Q /L�
fi'f (�-fIZCG ` h� ` UY +' ' 6
Business Name:
Business Address: i(-41 e/�-6 -Dz. ij f 0,
City ,0 State: Co Zip: ,;1/6..,.9.-o ;c2.... .1 " d. j/ h 4- ' �"r t'�)�r'-Contact Name: LO Tr tom-■Gply-r t.t /) �
l (r1 ,a _ ' •1 i C--' • f' A 1
Contact Phone: Ci 6 - 30a,- ee.-1 .S'
t (use additional sheet if necessary)
Contact E-Mail: CAV q rt r , ♦ G rte
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (4j No
1 Information required,completed an accurate plot plan,and state that alI
the information as required is correct. I agree to comply with their or- "'°`- -- .»....,.,
I, mation and plot plan,to comply with all Town ordinances and st-, la , Work Class:
jand to build this structure accordi to the town's • • a-• •divi
codes d ' n review=•pi•v.•,international :• •1n9 a•J� � .en' Ix7New( ) Addition( ) Remodel( Repair( )
d then or• ; ,. - , the Tov >..' t �l./ Other( ) '
ir .: I
Owner/Owner's Representative Signature(R:. ifType of Building: Single-Family( ) Duplex( )
Mutti-Fam
ily4 Commercial( ) Restaurant( )Applicant information
+ Applicant Name: i AJl ilitt3, --
J � Vr Other( )
. ,.-. ,._. ,,. - ,,,._ ._....-, .. . 2_.,,.•::..
�^ Provide BOTH square footage of area of work
Applicant Phone: c7?D- 3/U'` a6- / AND Valuation(Labor&M�Ite als)
Applicant E-Mail: u Ca „...47/f h(A'" •--IAmount of SQ Ft.: ed.-a
Additional Authorized ProjectDox Users
s .,
Electrical b .
Full Name:
E-Mail:
Full Name: 4
Date Received:
E-Mail:
For Offcc'tile Only '—"
Fee Paid: q.--,z «.. RECEIVED
Received From: By cgodfrey at 9:35 am, Sep 28, 2016
Cash Check I
GC: Visa/MC Last 4 CC I Auth #
Rev.2015-Dec