Loading...
HomeMy WebLinkAboutE16-0199 Application.pdf --i- Department of Community Development! ' • 7S South Frontage Road West TOWN • Vail, CO 81 657 OI - Tel: WO-479-2139 wwwnr.vailgov:oom ELECTRICAL PERMIIT Electrical Permit Submittal Requirements Including Heat Tape Installation _Floor plan/Site plan showing proposed work Occupancy Group listed on plans _Load Calculations and one-fine diagram when loads or circuits are being added Building Type NOTE For Mutti-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address; . 011 �O s4-- ,r.Q. (1e -Lt.611.LR.,.: Project#: (Number) (Street) Z1 ` ISu to#) ` Building Permit#: Building/Complex Name: ?,e (7V)- V em l / Electrical Permit#: / ( •0019 Project Information:(/ /I Owner Name: 'V �t ( RZ__Se>e kir Lot#: Block# Subdivision: a Parcel# A p n (For Parcel,couiactEagie County Assessors oi�iceat{970)328-8640 or visit Define Scope and Location of Work AA (2--)0P( wusrmeaglecourrty.us/palle) Contractor Information 5 i PA, C)cv`i D kita e v ec,S yi S Business Name: /1 eLia !/�.f'_�C1-4... � f C. � C),(/'e_ C‘CPA,i 1 J f 72 1'1/12 ! - Wk); s c,1,-,c& �w,Lopso,4 4 €40; ' Business Address: 7--CO-- City 400 G'\ State: ZIT"? gl�.a,20 ��`�- I cioiG A. --5p Gl f l ouQtr' Contact Name: ��i.\ L' :&c - -- �jc.k.i t(9,}GA Cit1 `t- el p�Y`e ks t- /lM Contact Phone: 9 /0"tot ,2ce C r, 4(1011,a i VIII • •lS ..•(use ®p'L- a+Y) !� ih.h additional sheet if necessary) 1 rC n� ` I.U ee Contact E-Mail: dQ�.v\. V;r�C2 .1.1-€) v'>2!� .30-. . I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes Y )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- 1 mation and plot plan,to comply with all Town ordinances and state taws, Work Glass: and to build this structure according to the town's zoning and subdivision NewAddition RemodelRepair co.y-,•.=-"e review approved,Internation Building and Residential ( ) ( ) ( ) p ( ) ..es and o' er ordinances ora Town ap icable thereto. Other( ) • ` " "'^ Type of- Building: Single-FamilyDuplex Owner/Owner's Representative Signet re(Required) g ( ) ( ) Applicant Information l- Multi-FamiIy�( ) Cotpmeroial( ) Restaurant( ) Other( ) fo Applicant blame: Cbt20,1-N. CV;; In e e_k (j- Provide BOTH square footage of area of work Applicant Phone: q7() '- Ln i q,c-cp q AND Valuation(Labor&Materials) Applicant E-Mail:( P - ;. i/1( c2\�-P e.VtCrPr'(Q' iC A mount of SQ Ft: Additional Authorized ProjectDox Users /c..°Electrical$: /© l&0 Full Name: E-Mail: Date Received: Full Name: E-Mail: For Ofilee Use Only: Fee Paid: Received From: - Cash Check# cc: Visa/MC Last 4 CC# Auth# Rev.2015-Dec