HomeMy WebLinkAboutE16-0215.pdf Department of Community Development
75 South Frontage Road West
TOWN OF UAlL} Vail, 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; ,,c
, [�.O/l� rti /', 1,c .5-02 Project#: /_
(Number) (Street) (Suite#) Building Permit#: IID 6
Building/Complex Name: Electrical Permit#: � ` G l S
Project Information: n n
Owner Name: SV2—a) I Lot#: Block# Subdivision:
Parcel# 161 d("3I7OYI
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www eaglecounty us/patie)
..._ _ ,1645 kV , e /}/e. 14/ k
r ,r\
Contractor Information ✓ ��7O/
flaidrok'
Business Name: ! F— f� �i n 0 n!o Ltl ID
Business Address: 0 t 3Q�C 6 I -D e. ' "' �
City 0 1) 4veNa State: I, Zip: 44. ,a
Contact Name: ,._, oLL/\ L o&tAr'i 9 c
Contact Phone: 3-72'
1use additional sheet if necessary)
Contact E-Mail:^/,j h,horhr, C Ce t t tV KC"
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes Qf 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 syQcture according to the town's zoning and subdivision New(C`) Addition(C) Remodel(q4epair
codes,design rQtjOw •• • •tarmfional Building and Residential
Codes and of •ma _-s of the Town pp ati- ble thereto. Other(C)
A
X Type of Building' in le-Family(C; Duplex((--)
Owner/Ovvner's Representative Signature(Required) Multi-Family(- Commercial(C) Restaurant
(C)Applicant Information
Other()
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Mate 'als)
Applicant E-Mail: Amount of SQ Ft.:
_ 1
Additional Authorized ProjectDox Users ,r c,A.
Electrical$: ,c5
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail
For Office Use Only:
Fee Paid:
Received From: OCT 3 0 2016
Cash Check# -
CC: Visa/ MC Last 4 CC# Auth # TOWN OF V�IL
Rev.2015-Dec