HomeMy WebLinkAboutE16-0067.pdf Department of Community Development
75 South Frontage Road West
TOWN OF .UAlL Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan 1 Site plan showing proposed work
_Load Calculations and one-line diagram when loads or circuits are beingaddedOccupancyGroup listed on plans
Building TTyype
NOTE: For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
> O£S MAActL kr 7 Project#:
(Number) (Street) (Suite#)
f �� + Building Permit#
Building/Complex Name: �/ r [ CO it)n�
Project Information Electrical Permit#:
Owner Name: �)n 6 Til awl psCn Lot#: Block# Subdivision:
Parcel# I Of () 7/0 gy/
(For Parcel#,contact Eagle County Assessors Office at 19701328-8640 or visit
www.eaglecounty.uslpatie) Define Scope and Location of Work
Contractor Information 3e-e_ G--i+0. t d ee J (.v i
T
Business Nam)e: U €r o 1 e_r kieC c ( , r s C.-6 P o c' LL JO r k r/P 4r ri .TJ!/f�
Business Address: ��� Ad-/- Coo f v�
City1/�
Ain! 01 State: C0 Zip: �f�7�S
Contact Name: --a /1 b may,,,\
Contact Phone (970i_g ya44 (pV - �yG3
0�31,
Contact E-Mail: 6 y r( ,(PIA@ vc I , net-- (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (Cl)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 accordin. to the town's zoning and subdivision
codes, design review aPpr. ., .rnational Building and Residential New( ) Addition (tJ9, Remodel(0 Repair(C')
Codes and other ord •. ces • e Town applicable thereto.
X Other( )
Owner/Owner's Re.res- 1 ative Signature(Required) Type of Building: Single-Family( Duplex(+'7
Applicant Information Multi-FamilX Commercial (?;") Restaurant(; )
Applicant Name: Other )
Applicant Phone: (76 a G�—� Provide BOTH square footage of area of work
�J��� AND Valuation (Labor& Materials)
Applicant E-Mail: d• p i I !lad
Amount of SQ Ft.:
Additional Authorizd,Proje�� Users
Full Name: ff,�����66 Electrical $ 7i-jj3��
E-Mail: rO .I�vb 1 5 n l 4-'OILS t?rLLS—60)41
Full Name: &u f L� f Date Received:
E-Mail: "64h @ , c_ . d
For Office Use Only:
Fee Paid:
Received From:
Cash Check # _
CC: Visa/ MC Last 4 CC # _ Auth #
Rev.2015-Dec