HomeMy WebLinkAboutE16-0168 signed.pdf ri •• Department of Community Development
• 76 South Frontage Road West
• Vail, CO 81657
TOWN OF VAI>!.A • Tel: 970-479-2139
www.vallgov.com
ELECTRICAL PER AT
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
Pro ect Street A dress: _ i
�--� % a.✓� .-r.-(.9- t Project
(Number) (Street) l ( (S(31-14#) Building Permit#:
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Building/Complex Name: v A; 1 vi-F"'•(14-.,474 ....e( 1 electrical Perm E16-0168
Project Information:� Cz,r•
.
Owner Name:cel o t7
icy/ .� Lot#: Block#. Subdivision:
Par # 2( ( - D �
(For Parcel#,contact Eagle county Assessors Office at(970)328-5640 or visit Deane Scope and Location of Work:
www.eagiecourty.us/patie) - - V ik,) 1 k•c,
Contractor Information • - �D�y
•
, v(J L i •
Business Name: "-"p.� �• c L_ pC/ i C JI
Business Address: D ' �) )' C/3 cd
City A 142 ,t_' State: ('0 Zip: 3-7 /C:2
Contact Name: STA k) /y r /( U L '�
Contact Phone:T 1- c7 —J3 0 �(/0
Contact E-Mail: p-7'4 it//( 0 f//<UL A 0 y41-700 C 0,,(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 ail
the Information as required is correct. I agree to comply with the infor- I
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure o ing to the town's zoning and subdivision
codes;design review ap Vie ,International Building and Residential New( ) Addition( ) Remodel( ) Repair( )
d other ordin ces f the To applicable theret f.' Other( )
O s Re resentative signature(Required) Type of Building: Single-Family( ) Duplex( )
Applicant information t Multi-Family( ) Commercial( ) Restaurant( )
Other( )
• Applicant Name:
�� Provide BOTH square footage of area of work
Applicant Phone: ,AND Valuation(Labor&Materials)
Applicant E-Mail: + '? punt of SQ Ft: .gym 7 7
Additional Authorized ProjectDox Users Electrical$: r c•.?two
Full Name:
E-Mail:
Date Received:
Full Name:
C4Mail: �- C� E [1 M -,
For Office Use Only: D
Fee Paid:
% 3 2016
Received From: J
Cash Check#
CC Visa!MC Last 4 CC# Auth# TOWN OF VAIL
Rev.2015-Dec