HomeMy WebLinkAboutE16-0051 fuentes_2.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
Project Street Address:
\ o o E . "-' a.dO\U "Dr
(Number) (Street) (Suite#)
Building/Complex Name: ~\"a.3e P\t'AT..Cs.
Project lnformatjqn:1 • __.
Owner Name: \JalftJ..i n R tl I .Oflks
Parcel# z. \ 0 I ·0 e "Z . SC., ·04 I
(For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
www.eaglecounty.us/patie)
Contractor Information
Business Name: 'b au.b \ '€... ~ ·
Business Address: Eo __,~........,.,.. .. _k=-=--'l/_....~.._.._-_____ _
City zd\.uei.n·l-::, -c•~•~· co ZinS\lo3L.
Contact Name: ~ce_-~-~ ~ _...Q./1(\-~ry . (
Contact Phone: 9~0 · lfo \ · 5'0~=1--• __
Contact E-Mail: _e_~ bet-_cy sc.e "-{4.kOO. ( W\,
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,
and to build this structure according to the town's zoning and subdivision
codes, design review approved, Inter tion Building and Residential
Codes an ordinances of the i:; wn icable thereto.
0 ner/Ow er's epresentativ S1 at
Applicant Information
Applicant Name: _ ~ WcioJqµ_-f.+.:"
Applicant Phone: ~1-0 (6{){.p ?J-3 ':19 ·
Applicant E-Mail: f?hvnJ(,(_...@ u.l+-bui It, (OYY1 ·
E-Mail:
For Office Use Only:
Fee Paid: _________________ _
Received From:---------------
Cash Check # ____ _
CC: Visa I MC Last 4 CC # ___ _ Auth # ___ _
Rev. 2015-Dec
Project#:------------------
Building Permit#:---------------
Electrical Permit#:---------------
Lot#: Block# Subdivision:--------
(use additional sheet if necessary)
Includes Temporary Service: Q Yes etNo
Work Class:
New Q Addition 0 Remodel ~Repair 0
Other Q _______________ _
Type of Building: Single-Family 0 Duplex Q
Multi-Famil~ Commercial 0 Restaurant 0
OtherQ ________ _
Provide BOTH square footage of area of work
AND Valuation (Labor & Materials)
Amount of SQ Ft.: 9 8 DD ---------------
EI e ctr i ca I $: !IF-/ ' q 50 -I
,+1 a,, ', ti 13 d . ;;. ~
Date Received:
13? .d~·.
APR 1 3 2016
TOWN OF VAIL