HomeMy WebLinkAboutE17-0034.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAILVail, 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:
s I ���o�5 t�.�C�so_ 1-06 #1-3 Project#:
(Number) (Street) (Suite#) Budding Permit#:
Building/Complex Name: 1.t �/;3
Electrical Permit#: U 1 V
Project Information:
Owner Name: C I Lot#: Block# Subdivision:
Parcel# Z‘ S i 1✓7.— 0"7 003
(For Parcel#,contact Eagle County Assessors Office at(970)328.8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie) )
Contractor Information L �l G ��
Business Name:71v_ f Jay 'kc• C
Business Address:?'o go fc 15 0
City ItAi N State: (o Zip: UI ,
Contact Name: T f l I t J st1
Contact Phone: ct i 0 33 6-3
Contact E-Mail: b I I c)k�n n a j m r .n . (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (r,Yes (n) 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(C`) Addition (C) Remodel g. Repair(C)
codes,design re ' approved,International Building and Residential
Codes a other r finances of the Town applicable thereto. Other(C)
X Type of Building: Single-Family(05, Duplex(r)
Owner/Owner's Re esentative Signature(Required)
Applicant Information Multi-Family(C) Commercial(C) Restaurant(C)
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.: 9
Additional Authorized ProjectDox Usersp 6
Electrical$: Z7
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Ojitj RECEIVED
Fee Paid: 4 11-7-c,
Received From: MAR 31 2017
Cash Check#
CC: Visa/ MC Last 4 CC# Auth # Town of Vail
Rev.2015-Dec