HomeMy WebLinkAboutE16-0231 Application.pdfDepartment of Community Development
75 Sooth 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: F9r Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Subdivision: ----------'------- Lot #: Block #
Project#:-----------------------------
Building Permit#:-----------------
Electrical Permit#:-----------------------�
(Suite#)
#27
(Street)
I hereby acknowledge thatl ha\/e read this appltcafion, filled out hi full the ihformationtequired, completed an accurate plot plan, and stale that all the information as required Is correct. I agree to comply with. the infor- mation and plot pla'n, to comply With allTown ordinances and state laws, and to bui_ld this strµcture according to the town's zoning and subdivision codes, design review approved, lnten:1�Uorial Building and Residential Codes and other ordinances of the Town applicable thereto. x p� -� ,, . . . ' .. ,_ '--"' Owner/Owner's Representative Signature (Required)
Project Street Address:
9 Vail RD ......:..------------------
w��k-ci;;-;= ---- ··------·--· --- --- --- -·-- --·--·· · -· · ·- - - ·· - ·1
New (0) Addition (Q Remodel(® Repair (0) I I Other (0) 1· r l ·----- ·------------------------------ ----------· ------ - -· -- Type of Building: Single-Family (0 Duplex (0 I Multi-Family (@ Commercial (0 Restaurant (0 I I Applicant Information I tot·h
· er a ·. .. .. .J Applicant Name: � =-·· - -- "'"'l -------�--------- Pr9vide BOTH square footage of area of work i Applicant Phone: I AND Valuation (Lc1bor & Materials) I
Applicant E-Mail: I Amount of SQ Ft.: 4 !
:;�:�:: Autho�ed Projecmox Use� �::�:::::�00 . . .. . J
™N�� I E-Mail: �------------
: (Number)
! Building/Complex Narne: _9_V�a_i�l�R_D _
! Project Information: ! Owner Nartt'e: Debbie Ford i Parcel #2.1010_7_1_0_60_1_8- .. ----"--'------------------ ""I -------------------------------.
i. (For Parcel #, contact Eagle County Assessors Office at (970)328"8640 or visit Ii Define Scope and Location of Work: --------------
1 www.eaglecounty.us/patie) · !! . . . . . . . . . t-·--·':'-• _ _. ·-�--��---��%�----�----�J W1nng for New Air Cond1tionmg urnt 1
:. Contractor Information _ . _ I · Business Name: Coppers Electric 1---------------------------------
Business Address: PO Box 234 -----------------------,-----
City Gy,psyi)l State: Co Zip: _8�1�63_7 _
Contact Name: David Heredia ..
Contact Phone: 970-904-0.955
Contac:tE-Mail: ce>pp�rselectrical@_gmail.colll (use additional sheet if necessary) · j r-- . --- - --------------
I Includes Ternporaty Service: (0 Yes ®) No
i
Auth# _
For UfficeUseOnfy: -·-··------------------------
Fee Paid:------------------
Received From: --------�------
cash Check # _
CC: Visa / MC Last 4 CC # _
Rev. 2015-Dec
B16-0449
E16-0231