HomeMy WebLinkAboutE17-0006.pdf Department of Community Development
75 South Frontage Road West
TOWN f UAB!s Vail, 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
_Load 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 A
12 g9 I•-JF/f D`'rte 0r Project#:
(Number) (Street)' (Suite#) Building Permit#: _
Building/Complex Name: mem f COOK_
Electrical Permit#:
Project Information:
Owner Name: Tv V Lot#: Block# Subdivision:
Parcel# 2 10 16 1 4;, C 7
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
rd v i ,/Clivi
Contractor Information /
b
• P��s� �l � r��
Tr.
�G
Business Name: rd
� J1
Business Address: 03 2 5- 1-/G r d SLG
City Cys rt-• State: C_.s3 Zip: 107
Contact Name: c.. /jc,h rer
Contact Phone: T7° -350 --2705;
Contact E-Mail: J r, /1�45� C� {-lam i t (-Coe"
(use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes (S 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 pl. ,to comply with .11 Town ordinances and state laws, Work Class:
•
and to bil this acure acc. din. the town's zoning and subdivision
codes,d=k'gn r w ieap•bilk!this
In national Building and Residential New(C') Addition(C) Remodel( Repair
C.•_- moth= o,.ina -s ,f th/ow applicable thereto. Other(c)
•wner/Ow er's Representative Signature(Required) Type of Building: Single-Family(C^) Duplex(0
A •lica• Information Multi-Family(C;) Commercial(C) Restaurant(C)
Other C)) Ru,$ /n•e�
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: "AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: /U O
Additional Authorized ProjectDox Users
jJ17�
Electrical$: o"`"'
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
RECEIVED
For Office Use Only: ................. 7
FIR Fee Paid: 3 `� ( rrd U2 201
Received From: Town of Vail
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec
--rCT,J 5:405