HomeMy WebLinkAboutE16-0234.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL ' veil,co 81657
Tel:970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
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
Project Street Address:
'- 3qc, �4tLvti-\ ,(\9 ( ,pc_.\( Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: ! --( a 3 c:
Electrical Permit#:
Project Information: n .
Owner Name: 1t "t I(i" i L.('�f� t,( Lot#:(4 Block# �l Subdivision:, (V C i r L-0,1
Parcel# (1 CA " Id - ) (Li.id
(For Parcel A,contact Eagle County Assessors Office at(970)328-8640 or oat DefineI nScope andLocation of Work:
www.eaglecounty.ualpatle) ri QttS.kuI (-4L( '
Contractor Information ����i c_- -)On q 'ct1
Business Name:-tNK.;QV- (--- liV}(.
Business Address: ��1 c)-
City- R>i.,y n State: e.Cm Zip: 4c>�1
Contact Name: ki\,4 \Z �ti'L
Contact Phone: C"iO_ .t(--.)t- CO I
�� (use additional sheet if necessary)
Contact E-Mail: 1114 i_1 w I���. t m 6 C_,: �JY`(l
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: r)Yes V)No
information required,completed an accurate plot plan,and state that all
the information as /-.uired is correct. I agree to comply with the infor-
mation and plot . . ,to comply with all Town ordinances and state laws, Work Class:
and to build t i cture according to the town's zoning and subdivision
codes, .:-.', '.view • ed,International Building and Residential New(( ) Addition(( ) Remodel(C� Repair(�)
Codes ani/ill;.:- .inances ofthe Town applicable thereto. Other cp -e( ‘,- A-i,,_ec,
X AO
Type of Building: Single-FamilyDuplex (m
O _P/ -r's Representative Signature(Required) p
• • nt Information Multi-Family(C) Commercial(C) Restaurant(C1)
Other( )
• ,. icant Name:j v YY\i2,_ &k.U._
Provide BOTH square footage of area of work
Applicant Phone: c 1 ('C?C I I AND Valuation(Labor&Materials)
Applicant E-Mail: 1v\(i)4. '*A VLIAk.c A 1,1( o' .. ( c,„),-,, Amount of SQ Ft.:
Additional Authorized ProjectDox Users
Electrical$: icy.
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: )J
For Office Use Only: 4 ?1 --- T
Fee Paid: 1/ -�
Received From: f :. -1 2016Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec 1 TOWN OF VAIL