HomeMy WebLinkAboutE16-0177.pdfDepartment of Community Development
75 South Frontage Road West
Vail, CO 81657
TeI: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan J 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: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Proj,rct Street Ad_c!J~s,: fl -A-662-(V \lM1) ().(/ Q(V\, ~
{Number) (Street) {Suite#)
Building/Complex Name: /Vt M-DOtU fY1 DJ ·/O"-'l.J J +o~
#A2 Project Information: /' / /J\ '-( (Y\~~ .w~ Owner Name:~~~~-·~~~~~~~~~~~~-Block# Subdivision:--------
Parcel# d I 0 / J d-lf ( 100 d--•'--=-====~==-====--===-==--===~
(For Parcel#, contact Eagle County Assessors Office at {S7D)328-8640 or visit
www.eagleco~nty.us/patie)
Contractor Information ,
Business Name: D/tfJlC[ If,~(, ~ g/fJ:,;{,_f t?/ITTK.Jf~~ 0/ S~Jtl
BusinessAddress:]!JJ. fJ!Jt:<. 724l fjfd,f ovf' mxtGD~ 0lfL7/UG
city&~~~ state: CO Zip:;?D2tiz± --'~~-+-""--'"---------
Contact Name: /)ftUl 0 fJO ~
Contact Phone: fl 70-3q 0 --/ / 7 3
G~ntact E-Mail: QJJ> f/ltilff6'3 SJ ~ "
I hereby aclmowledge that I have read this application, ffiled out in full the
infonnation required, completed an accurate plot plan, and state that all
the infonnation as required is correct. l agree to comply with the infor-
mation and plot plan, to comply with all Town ordinances and state laws,
and to build this structure according to the town's zoning and subdivision
codes,. design review approved, International su· din and Residential
Codes er ominances of the To • to.
Owner/Owner's Representative Signature (Required)
Applicant lnfonnation "
Applicant Name: DftV\ {) tJ 0 v' A:/\
ApplicantPhone: q70·-'610' I 173 ,
ApplicanfE-Mail: DfJS{J/tR.K\.f 63 CC)&-dl VMU
Additional Authorized ProjectDox Users
Full Name: ------------------
(use additional sheet if necessary)
Includes Temporary Service: ( } Yes <X.N'o
Work Class:
New { ) Addition C>KF.emodel ( ) Repair { )
Ofuer( >-------~-------
Type of Building: Single-Family ( ) Duplex { )
Multi-Family M. Commercial ( ) Restaurant ( )
I i. Other ( ) _________ _
f ~Provide BOTH square footage of area of work i AND Valuation (Labor & Materials)
Amount of SQ Ft=~~}~~--b~·_o ________ _
i Electrical$: '2-1 'JD-s_2_.
ri ~-~~-~~-~-~-~~~~--~-~
E-Mail:. ____________________ I
Date Received:
Full Name: ------------------
E-Mail: ___________________ _
For Office Use Only:
FeeP~d:_~~~-~~~-~~~-~~~
Received From:---------------
Cash Check# ____ _
CC: Visa/ MC Last 4 CC# ___ _ Auth# __ _
Rev. 2015-Dec