HomeMy WebLinkAboutE16-0211 Pike Electric.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIs 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:
2j(9() L'-3-015"7-24L2/-5,'(40v( 5 Project#:
(Number) (Street) / (Suite#) Building Permit#:
Building/Complex Name: �" 'L. //1-''17�' 1-�`i'(;'1
Electrical Permit#: b 0-z/7
Project Information:
Owner Name: l-L-C-- Lot#: Block# Subdivision:
(2c;(Parcel# 2/001.06'( —02 —(9045-
(For
For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Contractor Information
Business Name: r /K r -L1 ,_-T / °
Business Address: A 0 0 X b /5'
City AVONState: ('�V Zip: 0
A
Contact Name: 1) ti M��' U L A
Contact Phone: x`70 3D -J e/O
Contact E-Mail: kik° /`'//K ✓VL /. ,A 1100• C 0/1 (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes (T)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 New((') Addition(C) Remodel(C) Repair((')
codes,design review approved,International Building and Residential $
Codes and er ordinances oft own ap licable thereto. FOther(r)
X ._._.
Owner/Owner's�ative Signature(Required) Type of Building: Single-Family(C) Duplex(
Applicant Information Multi-Family fl Commercial f Restaurant 0
Other C)
Applicant Name: �_ ..±
Provide BOTH square footage of area of work I
Applicant Phone: AND Valuation(Labor&—Materials)
Applicant E-Mail: Amount of SQ Ft.: Q� 7
Additional Authorized ProjectDox Users / 000
Electrical$: l
Full Name:
E-Mail:
Full Name: Date Received:(8 -
lel —(127 4��� e9
E-Mail: '
_`(/
For Office Use Only:
Fee Paid: <
Received From: RECEIVED
Cash Check #
CC: Visa/ MC Last 4 CC# Auth # JAN 0 9 2017
Rev.2015-Dec
Town of Vail