HomeMy WebLinkAboutE16-0157 Application.pdf An*, Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIL Tel:970-479.2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Includingi Heat Tape Installation
_Floor plan/'She plan showing proposed wort t Occupancy Group listed on plans
Load Calculations and one-line diagram when loads or circuits are being added _Buildirig Type
NOTE..For Multi-Family and Commercial buildings--plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Address:
2617 Arose Drive unit A west Prciect#:
(Number) (Street) (Suite itt) Building Permit#:
BuildinglComplex Name: Residential
Electrical Permit#: El 6-0157
Project Information:
Lot ik Block# Subdivision:
Owner Name: Dennis Scalise
Parcel#210314204028
(For Purost It,contact Emits County Assessors Ofilea g(9701,37.8-5-640 os visit Define Scope and Location of Work:
www.eagiezatenty.usfpgie)
Deconstruct and Reconstruct Wiring/Lighing
Contractor Information
throught remodel project.
Business Name: Azy 17/1/4-aw/1_5;i7rtliez,
Business Address:
City L..Ihrd rate/ State: Cc Zip: crce..0
Contact Name: mil 74154,05
Contact Phone:
53
(use additional sheet if necessary)
Contact E-Mail:704g4,,,___CLKarea_d _____
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (ii)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. .®comply 'th all Town ordinances and state laws, Work Class:
and to build this s -iiureia4.6;i4 ding to the town's zoning and subdivision
codes,design - a I-4, 1,International Building and Residential New( ) Addition( ) Remodel(*) Repair( )
Codes and er .in4ip. of the Town applicable thereto. Other( )
X /iv
Owner/Owner's Represent‘tive Signature(Required) Type of Building: Single-Family(. Duplex(AV
(. ) Commercial( ) Restaurant( )
Applicant Information
Other( )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materiels)
Applicant E-Mail:
Amount of SQ Ft.:1°°°
Additional Authorized ProjectDox Users
Electrical$:115•00
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
RECEIVED
For Office Use Only:
By Shelley Bellm at 10:54 am,Aug 17,2016
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth
Rev.2015-Dec
PERMIT FEE RECEIPT
TOWN OF VAILl Case # E16-0157
Date Printed: 08/16/2016
TOWN OF VAIL - FEES RECEIPT
Permit Summary
Case Number: E16-0157 Status: Approved
Permit Number: Date Started: 08/05/2016
Permit Type: Electrical Subcases Duplex
Lot Number: 11
Property:12617 AROSA DR(210314204028)
Contacts
Contact Type: Applicant
Full Name: Dennis Scalise
Address:
Email: Bennis@arosachalets.com
Contact Type: Property Owner
Full Name: DENNIS W.SCALISE LIVING TRUST-DOROTI IR LIVING TRUS
Address: PO BOX 2591 VAIL.CO 8165$2591
Permit Fees
Fee Information Account ( Amount
Electrical Permit Living Space Fee $115.00
Payment Information Date Paid Payment Type Amount
Electrical Permit Living Space Fee 08/16/2016 Credit Card $115.00
Pa+tl 6y. •Notes:MaelarCartl•Donets w 5caue
FEE TOTAL $115.00
AMOUNT PAID $115.00
BALANCE DUE $0.00
75 South Frontage Road West,Vail,Colorado 81657 08/1612016-9:36:24 AM-Generated by:Icampbell
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