HomeMy WebLinkAboutELECTRICAL_3.pdfTOWN OF~ c 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
Project Street Address: ~
llC> \U,L\mS~ C~ . 3ol Project#:-----------------
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name:)l.,~c:y' ~ Uzt\c:bm Ul I Cd~ ~ectrical Permit#-: --------------
Project Information: fY'ft'' l c,/)__[£:;"1!--L-1 /'YI tt'o'W ~!fil25ffi
Owner Name: M J chae.\ M"nie.f'"" Lot#: Block# Subdivision: _______ _
Parcel # "Z. l 0 l D~ Z, \'"Jt;:'\fp .
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit Define Scope and Location of Work: Bt2) ac f..
· www.eaglecounty.us/patie) \ . ~ T L. _\ C..
Contractor Information 1 fX\511n cl ba.Q 4-ta.c .. k )\ qh~ LVJ:n J
Business Name: Ne\scm 9eok=t~ ~ r ~1\inq 040 \1# · ~~:;"~~~" Eo.~. ~ z;p8[~~1 ~:";i~.":~r
SkV4 Ncl.so() \<1b~re>CA,1\t,\s :1c:> futl :;. · Contact Name:
. Contact Phone: C\JO -:29 ~ -{p Z l Z
·Contact E-Mail: rlclSOO e\ed-nc.. ~ COMCtt&t. ~.t
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, desig view approved, I ernational Building and Residential
Codes an o ordin 1Town applicab e thereto. x jj'
Owner/Ow r's Repr entative Signatur (Required)
Applicant Information
Applicant Name: I E.~ ALL"E.YV)-AfJ
Applicant Phone: q70-?J 7rJ; -r2'7?£}:5
Applicant E-Mail:q)J~~n\e@ktt JYl:l1\ .a;n(
Additional Authorized ProjectDox Users
Full Name: __________________ _
E-Mail: ___________________ _
Full Name: -------------------
E-Mail: ____________________ _
For Office Use Only:
Fee Paid: _________________ _
Received From: ______________ _
Cash Check# ____ _
CC: Visa / MC Last 4 CC # ___ _ Auth# ___ _
Rev. 2015-Dec
(use additional sheet if necessary)
Includes Temporary Service: ( ) Yes ~No
. Work Class:
i New ( ) Addition ( ) Remodel 9<{ Repair ( )
Other ( ) _______________ _
·Type of Building: Single-Family ( ) Duplex ( Multi-Family~ Commercial ( ) Restaurant (
Other ( ) _________ _
i Provide BOTH square footage of area of work
1 AND Valuation (Labor & Materials)
Amount of SQ Ft.: __ \~1~1~-------
. Electrical $: f Z, t5C2C2 ,
Date Received: