HomeMy WebLinkAboutE17-0042.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
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: Project Street Addres~: 1 11 Up 3_ : s/O i3:c,'7f-0~::f'hi!:""eK f' _
i {Number) {Street) {Suite#)
Building/Complex Name: Lo~ fl LJ~--..-5£ t:ec-.:2
1 Project Information: + / / AV\Yl..C, ,,
Owner Name: KE-1'~ ~J 714-// K&/5.::.,--y
: Parcel# 2.J 0 / -{) 61-l-tJ") -t) fJ
' (For Parcel #, contact Eagle County Assessors Office at (970)328-8640 or visit
• www.eaglecounty.us/patie)
i
' Contractor Information
.1J1 .; · , t , 1i3,-7"? ;:.~In r~);i •, : Business Name:,jv. It:.:.. !A.1· ()~ ·-'j iA ... x. ..... ': fe .. ·I I... .. ' ' p~ .£;~-./""J-~&. ' Business Address: '--C.i ,.. r;;).' 1 • '-f
;city ·:;(J\/d~P.ns state:Co Zip:~/..b3?-
Project#:------------------
Building Permit#:---------------
171) -, -00 '-{ l -Electrical Permit#: ___ -r.__1_ I_ l _ _,_..._ ___ ol--___ _
Lot#: Block # Subdivision:--------
Define Scope and Location of Work:--------
-Contact Name: (,1 1 K..v ()? DNnG-0
, Contact Phone: tf7D 33/ ... 3(;.CJS ,
:_ c t t EM ·1· /lv• .,./)~~c,;o '-l'~c71z IC.. t&J.§ N ... ,,.,,;/ f . ..._:_•_""'"<u_s_e-a"""dd""'i"'"tio_n_a.,..I s"""h_e_-e __ ...,t_ i"'"f-ne_c_e-ss_a_ry_,.)-----------! on ac -a1.. / ~· ~~n v_c_ ' v-. 11.:-'--· . "''r~ · __ _ -·--_
, I
I hereby acknowledge that I have read this application, filled out in full the ·includes Temporary Service:
information required, completed an accurate plot plan, and state that all {QYes Q)No
the information as required is corre~ctl gree to comply with the infor-
mation and plot plan, to corvply with jjJ own ordinances and state laws,
, and to build this stru ref1t:cording to he town's zoning and subdivision
I codes, design re~i p ved, Inter ional Building and Residential
Codes and other d ~ s of the T. n )!Pruj£able thereto. ,_;
X.~--~---~~~~~~-
; Owner/Owner's Repr sentative Signature (Required)
! Applicant Information
Applicant Name: ------------------
: Applicant Phone:------------------
i Applicant E-Mail:------------------: ! Additional Authorized Projectoox Users
iFullName: -------------------
:E-Mail: ___________________ _
Full Name: -------------------
•E-Mail: ---------------------~
"Forn-rt1ceuse-onry:·------~--------~-------------------------------·
Fee Paid:------------------
Received From: ----------------
Cash Check# ___ _
CC: Visa I MC Last 4 CC # ___ _ Auth# __ _
Rev. 2015-Dec
Work Class:
'. New (0) Addition (Q Remodel ~ Repair (Q
Other (Q ______________ _
-Type of Building: Single-Family <0 Duplex (Q
-Multi-Family fJ Commercial (Q Restaurant (Q
Other() ________ _
Provide BOTH square footage of area of work
AND Valuation {Labor & Materials)
. Amount of SQ Ft.:_J_J~~------------
~/". ~ tt,70 . Electrical $: ___ ~~__.17'-""1"'-"V'---1./--'""--------
, Date Received:
RECEIVED
APR 0 5 2017
1own o~ Vail