HomeMy WebLinkAboutElectrical Application_13.pdf Department of CommunityDevelopmentmenti` L,Y'
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIL • Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PER' HT1
Electrical Permit Submittal Requirements Including 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 Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
--T
Pr�o}'e�cfi Street Address: _
7 -% kke., 1.&I Project#:
(Number) (Street) ' /� f (Suitg#) ` Building Permit#:
v
Building/Complex Name: C`'' ` �'-Fes►^-°'�+ e l : Electrical Permit#:
E16-0168
Project Information; �i4nie'v`
Owner Name: LAI — � Lot#: Block# Subdivision:
Jr.
Parcel# Z1 m 064 (3-2_ — o
(For Parcel#,contact Eagle County Assessors Office at(570)328-8640 or visit De ne Scope and Location of Work: '
www.eaglecourrLy-us/paiie)
Contractor Information ,
'U(J t i ♦
Business Name:
Business Address:
City State: Zip:
Contact Name:
Contact Phone:
Contact E-II/lail: (use additional sheet if necessary)
I hereby acknowledge that 1 have mad 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 acco ing to the town's zoning and subdivision e
codes,. New design review ap ove ,International Building and Residential ( ) Addition ( ) Remodel( ) Repair
( )
i! d other ordfn ces fthe To applicable thereto. Other( )
- I Type of Building: Single-Family( ) Duplex( )
OAWs. s Re resentative Signature(Required) I
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
• � ��
Applicant Name: '` v i-. Other( )`-
rev Provide BOTH square footage of area of work
Applicant Phone: i AND Valuation(Labor&Materials)
Applicant E-Matz: 6 1 '
c�
mount of SQ Ft: .(�'ea o
Additional Authorized ProjectDox Users
Electrical$: Dcro
Full Name:
E-Mail:
Date Received:
FuII Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From: .
Cash Check#
CC: visa/MC Last 4 CC# Auth#
Rev.2015-Dec