HomeMy WebLinkAboutE16-0237.pdf A"F- Department of Community Development
75 South Frontage Road West
TOWN OF ]!A!L Vail, CO 81657
Tel: 970-479-2139
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:
1139 Sandstone Drive 2 Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Indian Creek Townhomes
Electrical Permit#:
Project Information:
Owner Name: Barbara J Erickson Lot#: Block# Subdivision:
Parcel#2103-014-18-002
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.uslpatle)
New Kitchen- rehook all appliances, new light fixtures
Contractor Information
Make sure all deo meets current code in kitchen
Business Name: °C) Electric
Business Address: PO Box 242
City Edwards - State: CO Zip: 81632
Contact Name: Bruce Quesenberry
Contact Phone: 970-471-1954
Contact E-Mail: equesenberry56@yahoo.com (use additional sheet if necessary)
I hereby acknowledge that i have read this application,filled out in full the Includes Temporary Service: (C)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 according to the town's zoning and subdivision
codes,des.- reytcw approved,International Building and Residential New(0) Addition(C) Remodel(C Repair(C.)
Codes anct het o ayt of t$ he Town applicable thereto. Other(0)
Owner/Owner's Representative
Type of Building: Single Family{
s/entative Signature(Required)
Applicant
((
Applicant Information Multi-Family(C) Commercial(') Restaurant n
Nedba Construction Other )
Applicant Name; _
970-845-1001 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: warren@nedbo.com Amount of SQ Ft.:500
Additional Authorized ProjectDox Users Electrical$;5000
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec