HomeMy WebLinkAboutE16-0180.pdf Department of Community Development
75 South Frontage Road West
'� Vail, CO 81657
TOWN OF VAIL
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
j Project
Street Ad ess: `�
l I b f!c'i- c N.v, 7r ` Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name:
Electrical Permit#:
Project Information:
{Owner Name: e, I ( m U L . Lot#: Block# Subdivision:
Parcel# c I b( I/ I
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit ! Define Scope and Location of Work:
www.eaglecounty.us/patie)
LC61 G1, e,
Contractor Information m J 44.e N
Business Name�!
Business Address:
City State: Zip:
Contact Name: m l: IVA Alk3PsC,D
Contact Phone: 970 3 3) .316,4)6'
use additional sheet if necessary)
Contact E-Mail
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes �No
information required,comp-ted an accurate plot plan, and state that all
the information as required s correct. I agree to comply with the infor-
mation anc plot plan,to co ply with all Town ordinances and state laws, Work Class:
and to build this str cture a•cording to the town's zoning and subdivision New Addition Remodel Repair
codes,de g revi N appro ed International Building and Residential ( ) ( ) ( )
Codes any er rglipances of 'e Town applicable thereto. Other( )
X
Owner/Owner's Representative Signature(Required) Type of Buildin Single-Family( ) Duplex( )
Applicant Information Multi-Family Commercial( ) Restaurant( )
Other( )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Laboor�'&Materials)
Applicant E-Mail: Amount of SQ Ft.: 2�
Additional Authorized ProjectDox Users
Electrical$: /Q
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: n Iv�' -- ._'.
In �> ( I 1
For Office Use Only: I LII r
Fee Paid: y iP 2016
II1�
Received From: SE
� � i
Cash Check# I i
CC: Visa/ MC Last 4 CC # Auth # - 'FOWN OF w'At
Rev.2015-Dec