HomeMy WebLinkAboutE16-0149.pdf Department of Community Development
75 South Frontage Road West
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TOWN OF VAIL Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Includinq 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 Mufti-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed EIectrical Engineer
Project Street Address:
,-2_63•3 KAlurkiAveLk Rb. 52- Project#:
(Number) (Street) (Suite#) ` Building Permit#: F t�
Building/Complex Name: M j4/ C., E, _AIN Electrical Permit#: lb•—f} 1 4
Project Information'
� � -�� �� , Lot#: Block# Subdivision:
Owner Name: .� j
Parcel# 1 03 /eR—/'/, (:)c;/
(For Parcel#,contact Eagle County Assessors Office at(970)32 -8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
/th��/ A�/
Contractor Information — �� � /9',0471Z)413.
Business Name: �tier- -1G�c___, 6 / /
Business Address: PC .1 )4-. 77'
"love_ �'Nt('7' �/5 e lf ie_ Z� c �J`
City 6 y p.56'- i State: CO Zip: cP/67
/ / AA3L-u*r
Contact Name:
Contact Phone: 97(_)-3.2a-6- vvG
Contact E-Mail: / .77r ie c1Tr c c J,V OCA.. v� (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 st•-cture according to the .wn's zoning and subdivision k
codes,-design r: ew approved, - - �;:-' al Building and Residential New( ) Addition ( ) Remodel()c) Repair( )
Codes and.,%-r ordinances ;may/may a..licable thereto. Other W kifil) ,J /
f
X '�' I • Type Single-FamilyDuplex
Own- • --r's Representative Signature(Required) yP of Building: ( ) p ( )
Ap. 'cant Information Multi-Family (X) Commercial( ) Restaurant( )
Other( )
Applicant Name: fyJK _--
11 Provide BOTH square footage of area of work
Applicant Phone: J 74 390 'V� i AND Valuation(Labor&Materials)
Applicant E-Mail: 7«e%ct,; rt, <14 L IAmount ofSQFt.: � )
Additional Authorized ProjectDox Users / Electrical$: -0z Z O
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only: D
Fee Paid: JUL 25 2016
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth # TOWN OF VAIL
Rev.2015-Dec