HomeMy WebLinkAboutelectrical application_4.pdfDepartment 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
P_r:JJ~9t Street Address: } /~'61 l.,1u~s fl_tg'f lo()p
(Number) (Street) (Suite #)
Building/Complex Name: _Ve_tl\._1~/~fc~o~'-Yl~±-~'t~o~W~n ..... l~"OW\~~'~J
Project#:-----------------
Building Permit#: _____________ _
Electrical Permit#: _____________ _
Project lnforma~o!":
OwnerName:_il-________________ _ Lot#: Block# Subdivision: _______ _
Parcel# iro31d-J-o]<:.il5 ,_ ______________ _,
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: L vtte { £ , e (... +1 I(;
Business Address: P<1 \So)< 9-J 1 L{
city~~6 6w.5vM state: Ca zip: <6163 7
Contact rlame: tf tA."1 k lv ft.f ('
Contact Phone: q )0 3 q 0 G Y ~
Contact E-Mail: Lvfh r ~1 R. cf r I G ~ y OL ll cJ Q I l om
"' I ei.J ol.eJtC •V\"5 r,( CAH
SW r fcJ~1r/ovtfe h1 (fvUov~ ~?c(ro Tvb
(,,,l(Cvt1
(use additional sheet if necessary)
Includes Temporary Service: ( ) Yes QcNo . I hereby acknowledge that I have read this application, filled out in full the
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 subdivis'on New ( ) Addition ( ) Remodel Iv". Repair ( ) codes, design ~iew approved, International Buildin d R ide \"J ~~uandofu (.~inan s ffue~o na~~l~~~-h~e~~·~~~~~~o~_e_r(_) __ ~-----~------------~
Owner/Owner' presentative Signat re ( equired) Type of Building: Single-Family ( ) Duplex ( )
Multi-Family ( ) Commercial ( ) Restaurant ( )
Applicant Information Other ( ) R J. . V g ToWJll.~O~ p
Applicant Name: J~ 9Jh. t2-vssR.-V1
Applicant Phone: q J 0 S 0 b q 0 ~ 3
Applicant E-MailJVJ. So111 'tV ca.fr.,co ... 5fr...,cf toj r412, C
Additional Authorized ProjectDox Users
Full Name: ------------------
E-Mail: ___________________ _
Full Name: ------------------
E-Mail: ___________________ ~
For Office Use Only:
Fee Paid: ________________ _
Received From: ______________ _
Cash Check# ____ _
CC: Visa I MC Last 4 CC # ___ _ Auth# ___ _
Rev. 2015-Dec
Provide BOTH square footage of area of work
AND Valuation (Labor & Materials)
Amount otjO Ft.:_J~J-"--.-0-=-0--+-fl:..__2
______ _
Electrical l f I / 6 00 , 0 0
Date Received:
MAY 1 1 2016
TOWN OF VAI L