HomeMy WebLinkAboutE16-0038 Application_1.pdf Department of CommunityDevelopment
75 South Frontage Road West
TOWN OF VAIL` Vail, CO 81657
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
j 91 J 5 b'�1fAc _6-d- 5+ o�
IProject#: //
I(Number) (Street) j•✓1 i (Suite#) Building Permit#: 61S •6c)?-c-)f Building/Complex Name:wQ$rtLA e l,11,1 Electrical Permit#: SI Lo tD 3,S
jProject Information ( ,,(
Owner Name: CESre��� Lot#: � Block#'0J Subdivision:l!✓i1�e.^�
l0%/o i ?Subdivision'
3 , moo!-1
Parcel# 9 /0/ Q(,3 /200/ - 03.5"--
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit I Define Scope and Location of Work: On 0>'L
www.eagrecounty.uslpatie) ' 12'/IA'` O 104 /"S(d it p k e
Contractor Information
45
Business Name: fJ(-LEh Greek- F lC-C J J . 1 �X " P.A. l�
co Ae?t Frio 4e
Business Address: Po 12-5.—
City
� ,,(� �J' � ��
City '�l State: C 0 Zip: S/60'"i�5 C>1 L/ /,j.ip" " l-e (e,
Contact Name: t6epi3� q r 6Otii� e fr u(7 4e��` 5/ co U 1e.
Contact Phone: ) )O 390 Co j 2-7-
Contact
7
Contact E-Mail: G �1 e('(-r t e, W1ir I ! ca-W` i(use additional sheet if necessary) �/
I hereby acknowledge that I have read this application,filled out in full the i Includes Temporary Service: ( )Yes V/�1 No
information required,completed an accurate plot plan,and state that all I
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply wit .II Town ordinances and state laws, i Work Class:
and to build this structure accordi•• to the town's zoning and subdivision New Addition Remodel Repair
codes,design revi w a••rov=• " ternational Building and Residential ( ) ( ) ) ( )
Codes and , 1-r , •in. es •/he Town applicable thereto. p Other( )
X
if i
, l Type of Building: Single-Family( ) Duplex( )
Owner/O ner's Representative Signature(Required) i
Applicant Information Multi-Family( ) Commercial ( ) Restaurant( )
'.I- >gi�ne� i Other) Cgytdomt int owl 1 _
Applicant Name: ,,1
Q)1-6) 'nO a{i( ANDrde BOTH Valuuat on &Mauare terials)
als)e of of work
Applicant Phone: (Labor )
Applicant E-Mail: W`4 I le.,2_,A.M4 n`fidi�! i Amount of SQ Ft.: "Z--1
Additional Authorized ProjectDox Users
';Electrical$: (2-)567
Full Name:
E-Mail: 1
i
'Date Received:
Full Name:
I
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec