HomeMy WebLinkAboutE16-0010 signed.pdf Department of Community Development
75 South Frontage Road West
TOWN OF ���t 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:
2171 North Frontage Road Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: McDonald's
Electrical Permit#:
Project Information:
Owner Name: McDonald's Corp. Lot#: Block# Subdivision:
Parcel#2103-114-15-010
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: McDonald's plans
www.eaglecounty.us/patie)
to remodel the building exterior, kitchen, seating,
Contractor Information
Business Name: Herron Electric Co.
bathrooms, parking lot, and drive thru.
Business Address: PO Box 815
City Monument State: CO Zip: 80132
Contact Name: LeighAnn Herron
Contact Phone: 719-785-486
Contact E-Mail: leighann@herron-electric.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (•)Yes ( )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 • Repair
codes,design review approved,International Building and Residential (' ) Addition ( ) Remodel( ) ( )
Codes and other ordinances of the Tlicable theret Other( )
°� own
Robert Palmer a ap wn _-
Owner/Owner's Representative Signature(Require Type of Building: Single Family( Duplex
Applicant Information S I 1 IR Multi-Family( ) Commercial (*) Restaurant( )
Applicant Name:
Robert Palmer Other )
720-384-7661 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: rpalmer@strategicls.net 3,355
Amount of SQ Ft.:
Additional Authorized ProjectDox Users 50,000
Electrical$:
Full Name: Robert Palmer
E Mail:rpalmer@strategicls.net
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec