HomeMy WebLinkAboutApplication_11.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL i 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:
CI 6 w , :oN.Sl.e645. C.(cie 4;-•-+5t Project#: //
(Number) (Street) Q(Suite#) Building Permit#: -%16
Building/Complex Name: Co(\Let a }awl I ` a 2 A. Electrical Permit#: {j 1 v(wl.//�/�
Project Information: 1
Owner Name: r)(t✓et moi- .�f �- Lot#: Block# Subdivision:
Parcel# I b - 0 3 -- ii I 6-1
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
)-`ll
Contractor Informationce_s1L 1
Business Name: Do `nn M ,,Lal Ci G 1 '
Business Address: P. U• p.,„ ("7�lqe.r%
C le_ eIO��c �c�
City G-i S P S State: C 0 Zip: e it 3 ?- (040- :t.,1 5 J
Contact Name: Ivy.I{ . (\Ae
Contact Phone: q q b - 2,46- LI
�t w 42)c,,h l e N.,a c . Cv (use additional sheet if necessary)
Contact E-Mail: PA ke Inge):
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes p•)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 Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision New(r) Addition(() Remodel(k1 Repair((
)
codes,design review approved,International Building and Residential
Codes and othe{ordinances of the Town applicable thereto. Other(C)
Owner/Owner's Representative Signature(Required) Type of Building: Single Family(( Duplex
Applicant Information Multi-Family(C) Commercial 5 ) Restaurant(r)
Other r)
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: i/s 6( (9
Additional Authorized ProjectDox Users Electrical$: l c U o G
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: O S-0 RECEIVED
Fee Paid:
Received From: JAN 0 5 2017
Cash Check#
CC: Visa/ MC Last 4 CC# Auth # Town of Vail
Rev.2015-Dec