HomeMy WebLinkAboutE16-0020.pdf ' tif,
Department75 of
South Community DgeeRoad Westvelopment
Fronta
TOWN OF VA l lVail,CO 81657
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
oad 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
Project Street Address:
200 Vail Rd 677 Project#: / (,(�
(Number) (Street) (Suite#) Budding Permit#: �(N `-00 lam'
Building/Complex Name: Lodge Towerdc;--8Electrical Permit#:
Project Information:
Owner Name: Warlord Lot#: Block# Subdivision:
Parcel#2101-082-24-031
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Locati n of Work:
www.eaglecounty.usJpatie) 1
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CommimMaidiflimmillom
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Business Name: Krivelki17-i �u.r, (L Ar'?,! 1 L Gv�CQ lOCA� _Business Address: 9-Lmaittatsznte'seo--1,1
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dS State: Ga- " Zip: 84032 GYl afp LccilC-Us
Contact Name: Edd BOntraderpi ry /� �,(Y-et
Contact Phone: �2 a' I `(1 I 0
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Contact E-Mail:-Et" m 'itit `klr l dry f ('�Iir t( 6) (useadditional sheet if necessary)
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I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (. )Yes ( )No
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 tonin and subdivision New( ) Addition ( ) Remodel( J Repair
codes,design review ap. .v:d,International Buil and Residential
Codes -n21.00.. •a>.,rdin. ces .f the Town a ble thereto. Other( )
r �
i - Type of Building: Single-Family( Duplex(
er -4er's -• -sen .tiv Signature(Required)
Applican Information Multi-Family(•) Commercial( ) Restaurant( ;
''// Other k )
Applicant Name:Tkoi (4. U.�',� lll((
Provide BOTH square footage of area of work
Applicant Phone: 306, .Y 3± 1 AND Valuation(Labor&Materials)
Applicant E-Mail: 0.101 fh16/ ei hol, "'' Amount of SQ Ft.: I Oh
Additional Authorized ProjectDox Users 26/ 000
Electrical$:
Full Name: Carl Brugamen
44115 .(
E-Mail:
Carl@ulfbuitt.com
Full Name:
Rhonda Woodruff Date Received:
E-Mail:Rhonda@Ulfbuilt.com
For Office Use Only: I n ti '
Fee Paid: L i
Received From:
In,
MAK =5 2016
Cash Check# ! i 1
CC: Visa/ MC Last 4 CC# Auth # ;`I `""
Rev.2015-Dec i i
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