HomeMy WebLinkAboutE17-0040.pdf 44,4 Department of Community Development
75 South Frontage Road West
TOWN OF VAI L' 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 _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:
2bo Ucc;1 V -7g-7 Project#:
(Number) (Street) I (Suite#) Building Permit#:
Building/Complex Name: LO�(e I vwF c e I -1-0044 b
Electrical Permit#:
Project Information:
Owner Name: GCD�e oto-1 1 1-}i 12,0nc ; ; Lot#: Block# Subdivision:
Parcel# Z 10 I ` ZL( - b 110
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: De 003 e X.Si i i
www.eaglecounty.us/patio)
U1n;�-_ Netw (; h� ) 1`e–w;cc ICi1'c1,c05.
Contractor Information v
.> )
c,CCllvvoi bat+1,14;• veer ex. s� ; ocr Sc
Business Name: q �r/(t G !, c
t' -� ^
Business Address: 2.10 Eckv.A V.ll , gLV O A-24r-!
City EO4Wuv,x1 State: (Q Zip: $/6 3 Z
Contact Name: PIA-0 Fie/M p K/
Contact Phone: /2d- 47/- 6/6 /
{ (use additional sheet if necessary)
Contact E-Mail: tr'�(L,/ y P(c c 9 ni E n .(Ohl
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (. es (-)No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision New(!) Addition (, ) Remodel) epair r)
codes,design review approved,International Building and Residential
Codes and other ordina of the Town applicable thereto. Other
Owner/0 er' epresent tive Signature(Required) Type of Building: Single Family(C; Duplex( ;
Applic Information Multi-Family(; ommercial('') Restaurant((l)
Other E )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: / /L/0 O
Additional Authorized ProjectDox Users Electrical$: ` ��� G
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: RECEIVED
Fee Paid:
Received From: APR 0 4 2017
Cash Check#
CC: Visa/MC Last 4 CC# Auth# Town of Vail
Rev.2015-Dec