HomeMy WebLinkAboutElectrical Permit_5.pdfTOWN OF~ Department of Community Development
75 South Frontage Road West
Vail, CO 81657
Tel: 970-479-2139
www.vailgov.com
ELECTRICAL PERMIT
Electrical Permit Submittal Requirements Including Heat Tape Installation
_Floor plan I Site plan showing proposed work
_Load Calculations and one-line diagram when loads or circuits are being added
_Occupancy Group listed on plans
_Building Type
NOTE: For Multi-Family and Commercial buildings-plans and calculations must be prepared by a Colorado Licensed Electrical Engineer
Project Street Adqr~ss:O::::-: ),/ °3/ /V, r-;2c A./7/-l6~ RcfJ r j1( il ~'K" ' Project#: ____________ _
(Number) (Street) (Suite#) Building Permit#:
Building/ComplexName: 7'A?/~E/? rR1~C~£ d/>7? -------------
i Project Information:,,,-;-lo /:: ·11A1L. 1 Owner Name: ?v /t-" ct> ,r:.--v
I Parcel# 2e? / :> ·-I> I -e '1 ~r ! (For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
j www.eaglecounty.us/patie)
j Contractor Information
I Business Name: ~ ,j c: r-l e ( ~c ·r.e i c:
I Business Address: 1'3.t\.. gg ~I>& ::z-
! • I City 5;reJl#t&A T ;;/P6 State: (CJ. Zip: 'Z(!) v't&
j Contact Name: CA R lo S /te ,A/ ;A A/ (j)~ 2
Electrical Permit#:--------------
Lot#: Block# Subdivision: _______ _
Define Scope and Location of Work: _______ _
t?e PiA,c£"
/ l 7 I
K-11 -/k -;~/ r-.-J7) t'C -/'6'
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J Contact Phone: Cj ? CJ ·-g f 9 -I 'l cl S-·
! Contact E-Mail: CtlJtf.. Los I Ci 7>b e,,,, e 0 #A;(._ I (, t;,1~:_4-1_s_e_a_d_d_itio_n_a_I s_h_e_et_i_f n_e_c_es_s_a_ry_) ----------~
I i ~ I I hereby acknowledge that I have read this application, filled out in full the ! Includes Temporary Service: ( ) Yes 'No
1 information required, completed an accurate plot plan, and state that all '
II
. 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, i Work Class:
and to build this structure according to the town's zoning and subdivision 1 New ( ) Addition ( ) Remodel 1'X\ Repair ( ) codes,'design review proved, International Building and Residential V V
1 Codes an~ other ord· a ces of the Town applicable thereto. j Other ( ) -----------------X ~-
ownert, wner's Representative Signature (Required) i Type of Building: Single-Family ( ) Duplex ( )
ApplJ¢'~nt Information '• Multi-Family M Commercial ( ) Restaurant ( )
./ ) I> 'other ( ) ______ _
Applicant Name: sv8 f/a/ ;; /, \ t: CIC/?.~
·-o-• --.. Provide BOTH square footage of area of work
Applicant Phone: 9 /c> -25 Y ,/,, -7 "J ~ f. i AND Valuation (Labor & Materials)
Applicant E-Mail: Yvc.--_ s:ERU ( ~ r-S( --: '#1/J@ .Ct',:?(/ 'Amount of SQ Ft.; ':? 0 0 p~'
Additional Authorized ProjectDox Users ' Electrical $: ~ /.CcP c> ·-/
I
Full Name: -------------------
E-Mail: ____________________ _
Date Rece
Full Name: -------------------
E-Mail: ____________________ _
For Office Use Only:
Fee Paid:------------------
Received From: ______________ _ TOWN OF VAIL
Cash Check# ___ _
CC: Visa / MC Last 4 CC # ___ _ Auth# __ _
Rev. 2015-Dec