HomeMy WebLinkAboutE16-0174 Application — -- D---)
Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAIt'
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 arbd 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:
.37 =1 g.A- t Gip i ,J{ Project#:
(Suite
b
N
( umer) (Street) #) (; _ 0'
Building Permit#: ,..1:;>/
Building/Complex Name:
Electrical Permit#:
Project Information:
Owner Name: T0. J
N rA tk 6-u Lr Lot#: Block# Subdivision:
Parcel# (9I6 II it 6, -- c-)-() 6 it
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit I Define Scope and Location of Work: _Tn/ S 717-t/1
www.eaglecounty.us/patie) /
POW-er `1Z) `U' cS fir r2/Q(QCe jJ,11,rty.-)
Contractor Information 1
Business Name: 5ctt Vck 11-t j 1-ec. triC S�' /"a1 C, _A-No ()`�ttW = to
Business Address: /0LI0 a�� S7' eX, S�, 'J'1 S4rU + C2 i S —UvA{"tl�
City A,i✓'tk r.,1State: CO. Zip: /6 b J
Contact Name: AJ Ci-01 A a Cr0 SS
Contact Phone: @ 7B) c(O'-1- ' 8 '4 5-
_ (use additional sheet if necessary)
Contact E-Mail:
n 0.7-, ® e a it U�� I�f J � �` r Co/h
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (x) No
information required,completed an accurate plot plan, and state that all i
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
codes, design review approved,Internatior al Building and Residential New( ) Addition ( ) Remodel ( ) Repair( )
Codes an er ordinances T9 • plicable thereto. Other( )
X G -s/
Owner/Owner's Representatl signature(Required) Type of Building: Single-Family( ) Duplex K
Multi-Family( ) Commercial( ) Restaurant( )
Applicant Information
Other( )
Applicant Name:
, Provide BOTH square footage of area of work I
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: /U v
Additional Authorized ProjectDox Users 4r,U v,
Electrical$:
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail: G E (c- r ;\,i r ' n
For Office Use Only: _,
Fee Paid: AUG 3 1 2016 J
Received From: a I -
Cash Check#
CC: Visa/ MC Last 4 CC# Auth # TOWN s F- VA!L._
Rev.2015-Dec