HomeMy WebLinkAboutelectrical application_6.pdf Department of Community Development
RECEIVED75 South Frontage Vail, CO
West
TOWN OF VAIL CO 81657
Tel: 970-479-2139
By cgodfrey at 1:15 pm, Mar 14, 2017 www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan 1 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
Project Street Address:
62 E Meadow Drive 304 [3701 Project#:
{Number) (Street) (Suite#) Building Permit#: B 17-0039
Building/Complex Name: Talisman Condominiums
Electrical Permit#: El 7-0024
Project Information:
Owner Name: David Birnbaum Lot#: Block# Subdivision:
Parcel# 210108205014
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecou nty.us/patie)
Reconfiguration and installation of new electrical
Contractor Information
wiring throughout unit. �«
Business Name: ��TI VLfine, ,,n c_
et.
Business Address: �f�• i3 ar/� . IA) ' ' 'a' /
City t-..6-15 N
[ State: ( 2 Zip: g /6, r� { G% CL-
Contact
C-Contact Name: 2-4./--+'/ Ar,Le_LL
Contact Phone: 5 O -Jc/ f] - 12,41-3
se additional sheet if necessary)
Contact E-Mail: 1 r.� �r� (-12.14-44/- ,n 2
1 hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C )Yes (r)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-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision t {� Repair
codes,design review approved,International Building and Residential New( ) Addition (C) Remodel( ) ( )
Codes and other ordinan of of the applicable thereto. Other(C)
X �5• �" Type of Building: Single-Family(C) Duplex(�)
Owner/Owner's Representative Sig ature�(Required)
Applicant Information Multi-Family((:) Commercial (C') Restaurant(C)
Applicant Name:
Lori Mowder/CHC Other(')
970 904-2157 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: lori@customhouseconstruction.com 2 069
Amount of SQ Ft.:
Additional Authorized ProjectDox Users Electrical$:
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec