HomeMy WebLinkAboutE16-0223.pdf Department of Community Development
• 75 South Frontage Road West
TOWN OF VA!!' vau,co s1s57
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
Project Street Address: +
i) 1 i�ev k•F712 (.-- ^ /4 2-- Project#:
(Number) (Street) ..-----, /` (Suite#) Building Permit#:
Building/Complex Name: 1 1---1014(7-4- Ctreek. _ // �_�
Electrical Permit#: KJ
Project information -
Owner Name: 1 i WV- Ip...20(`1 Lot#: Block# Subdivision:
Parcel# 205 /` .S (S- 0o 2
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patio)
,�. I Z • ' - ire UirGLS
Contractor Information ,y ,/
Business Name: Pit "•f -414ev\-632'fl'ti 11S?"1, � r h jc%i�' c',4-vi (/L S
Business Address: P 0
City /
VA— ( Sta Zip: 8/ ce / k )\--L
� i
Contact Name: / '( ice GvAre 1,t�-'c-[--p,
Contact Phone: / , v r.
Contact E-Mail: t r ( • �. . '�/ • vL (use additional sheet if necessary)
I hereby acknowledge - t I have read triis applicat o,'Title out in full the Includes Temporary Service: (C)Yes No
information required .mpleted an accur- - plot plan,and state that all
the information Ai' • ' -• ect. a! ee to comply with the infor-
ma'•- - •p o p a , • :-••• r• own ordinances and state laws, Work Class:
nd to build this s ucture accoN I,• •• t':town's zoning and subdivision New(C ) Addition(r) Remodel( Repair O
codes,desig r: iewapr ov=i, rnation Building and Residential
/Codes and; ,� :in.• of .e Town app' -ble thereto. Other(C)
X ,r
Owner/0 ner's 'epresentative Signatur-. (Required) Type of Buildig: Single-Family( Duplex((
Applicant Information Multi-Family( 'Commercial(C) Restaurant(C)
A �. / Other(?)
•
!a Provide BOTH square footage of area of work
Applicant Phone: 1 (`t 0 �/�� / AND Valuation(Labor&Materi I )
Applicant E-Mail: /'e-� /iG1� / Amount of SQ Ft.: /67
Additional Authorized ProjectDox Users
Electrical$: r91 l 2 5—
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only: (� (( fl ��7. '
Fee Paid: n L� `=' I I `V/ I -�
Received From: v
Cash Check # OCT j 4 2016 I
CC: Visa/ MC Last 4 CC# Auth # !_II
Rev.2015-Dec