HomeMy WebLinkAboutE16-0226.pdfTOWN OF~ Department of Community Development
75 South 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: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Proj,ct Street Address: ·fJJtJ.P r ±630 V(ftL f2--A-Q.v~r cVih-OK f/;;JT(/ Project#: ________ _
• (Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: VAtL AJA?uv-z cw/;! ------~ Yl--Electrical Permit#:--------------
Project Information: ·J:__, / ; t,TT=( ---C
OwnerName: ___ ""IC) __ ~L----L---_C7_ '--l-1---------~L-o_t_#_: ____ B_l_oc_k_# _____ s_u_b_d_iv-is-io_n_:;:;:;:;:;:;:;:;:;:;:;:;:;:;::: ....
Parcel # ~ I 0 I I d \( 0 6 0 () j
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: Qfn...A61 ·~G .r;;..<
Business Address: f.Q £!>,e)l 72/tb·
City 8Ud< ~'-/ ~ti: State: LO Zip: 2'9 ('Pf
Contact Name: .OltV\O /J0~1¥.r
Contact Phone: no-3 q 0-I 173
1 Define Scope and Location of Work: 12.:£ l,,{..) l'P*
/J/dh:t RAfilJ, I
WT I Eo(L l , ,
11-00 4 4-'1 L~lJ 4Mb t /v
Ci g ~I ~ iv t 11+ A it[-!Hrz-S
Contact E-Mail: Of'rNtd. ~.-kJ?AiG:i) ~/'l\Af l..~ (use additional sheet if necessary)
I hereby acknowledge that I have read this application, filled out in full the
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 Town ordinances and state laws,
and to build this structure according to the town's zoning and subdivision
codes, design review approved, International · · nd Residential
Codes ther ordinances of the wn eret
X._....:o..::;___;~--4:::.,_ _________ _
Owner/Owner's Representative Signature (Required)
Applicant Information
Applicant Name: -----------------
Applicant Phone:-----------------
Applicant E-Mail:-----------------
Additional Authorized ProjectDox Users
Full Name: -------------------
E-Mail: ___________________ _
Full Name: -------------------
E-Mail:. ___________________ _
For Office Use Only:
Fee Paid:-----------------
Received From: ---------------
cash Check # ____ _
CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _
Rev. 2015-Dec
, Includes Temporary Service: (Q Yes IQ) No
1 Work Class:
. New (C) Addition (Q Remodel ~ Repair (Q
·Other (l) ______________ _
Type of Building: Single-Family (U Duplex (U
• Multi-Family1'<> Commercial(() Restaurant (Q
Other C) ________ _
Provide BOTH square footage of area of work
AND Valuation (Labor & Materials)
Amount of SQ Ft.: / 0 0 SR ft c•
Electrical $: 2 5 0 o-2-
Date Received:
OCT 11 2016
TOWN OF VAIL