HomeMy WebLinkAboutE16-0182 application.pdf Department of Community Development
• - 75 South Frontage Road West
TOWN 81657
OF VAIL 1'''t 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: r
I 4"5 (rre0,rt il) z+, : Project f#:
(Number) (Street) (Suite#) Building Permit#: 'LI '070?
Building/Complex Name ' Electrical Permit#: Ella 'oda
Project Information: . Lot#: Block# Subdivision: W, V
Owner Name:
a
Parcel#
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: '
www.eaglecotmty.us/pafie)
Contractor Information • Wit i TO e rt�'0l-J 4 u�
Business Name: C A.! r
II
Business Address: I), 0, hn X 24.03 4 , Si
City Avn N Statee.f, Zip: 81(20 f.1.•:if71 C,',- Gt.A.Ajli -71.0-e,d ,
Contact Name: V l YY)illy E.gG)U t la-• t (..,".4..e_d e
Contact Phone: 17 D ??¢3 -.1512
Contact E-Mail: (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (X)Yes ( )No
information required,completed an accurate plot plan,and state that ail
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 New Addition( Remodel Repair
codes;design review approved,I -••-;anal Building and Residenti_ ( ) ( ) p ( )
Codes and other•rdinances of q-To applicable th--- o f / Other( )
v i
Owner s Represen . e `%nature(Re uire• -
Type of Building: Single-Family 9) Duplex( )
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
l Other( )
Applicant Name: /3-7/'C. fie/ J. ;,;"
Provide BOTH square footage of area of work
'Applicant Phone: 9?-0 —3 G — 8''6 r AND Valuation (Labor&Materials)
Applicant E-Mail: s-.�`4i,`,�`os lc. @ We c-. COc,. Amount of SQ Ft: ) r' q::.)Additional Authorized ProjectDox/ Users i
Electrical$: ?5. 0
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From: -
Cash Check#
CC: visa/MC Last 4 CC# Auth #
Rev.2095-Dec