HomeMy WebLinkAboutE16-0055.pdf Department of Community Development
75 South Frontage Road West
TOWN OF In` 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: C108
G`f S C Vail 1/Away b Z z5 / Project#:
(Number) (Street) 11 (Suite#) Building Permit#:
Building/Complex Name: MAl.IoZ VAL L I-ad
Electrical Permit#:
Project Information:
Owner Name: II oN 1-I /vo GL I-I/EZZ� Lot#: Block# Subdivision:
✓J
Parcel# ZICU IOB/dPjOI —
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: 11 Q
www.eaglecounty.us/patie)
Contractor Information �LcCT et CAL- /Iv A/6 cJ (,4-)ALL
Bel- r)ef�S c t�i�Uov.-- AiSS
Business Name: C"_or3q,LT L(tc:TZ+C_ Cozy
IBusiness Address: ?.0• c.x. 71 Vin)� �. c9 w` 1.• 70774
I City CyPSo,in State: CO Zip: 9163 0077_ETS
Contact Name: Nick Ak5 Asb tT1 o,U44 . Lo A.1
Contact Phone: 9'7o- 3 o Q•- 705'/
(use additional sheet if necessary)
Contact E-Mail: C'e., ALT ELec iR-JCc�c�Z� G/►lA+� •Go�"'c
I hereby acknowledge that I have read this application,filled out in full the i Includes Temporary Service: ( )Yes ( ) No
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,•wn ordinances and state laws, Work Class:
and to build this structure accordin• •� a town's zoning and subdivision Remodel,0i0
Repair
codes,design review approve. New( ) Addition
national Building and Residential ( ) '\ ( )
Codes and other ordinance e Town applicable thereto. Other( )
X
Owner/Owner's '-4resentative Signature(Required)
Type of Building: Single-Family( ) Duplex( )
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
Other VI COA3 tc�
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: 6)e)
Additional Authorized ProjectDox Users
Electrical$: /006
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: C _ �f
`' E
For Office Use Only: D
Fee Paid: APR 1 J 2016
Received From:
Cash Check# / TOWN OF VAL L n.
CC: Visa/ MC Last 4 CC # Auth #
Rev.2015-Dec