HomeMy WebLinkAboutElectrical_7.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
Project Street Addres~: / /t ,
&-:;5 E. ~~< l:;_,;z_
(Number) (Street) (Suite#)
\ Building/Complex Name:
i Project Information:
4&~~
! Owner Name:-------------------
Project#:------------------
Building Permit#:---------------
Electrical Permit#:---------------
Lot #: Block # Subdivision:--------
I Parcel# 2-;P/tJ'23 130/)/ --Lf (?I
,__ ________________________________________ ....,
j (For Parcel#, contact Eagle County Assessors Office at (970)328-8640 or visit
I www.eaglecounty.us/patie) )<f contractor Information
I n ~-I-/ i Business Name: v .JC' /1' Sc:::'._ /J ~ I'(' L
! Business Address: _b_·~<ZX-.<---~/_2_2_/ _________ _
I City ~ State: {o Zip: S /b 3,7
i
I Contact Name: --"';;._,..i;L-----------------,
i Contact Phone:-~~-~--........... ~~~--------
!Contact E-Mail:~~-~--~~_......~~~~~~---
!
I
Define Scope and Location of Work: ~-------
Pt-·£._ o/-ccoiZu/ Ar_,,~£~
(use additional sheet if necessary)
Includes Temporary Service: ( ) Yes MNo 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 subdivision
I codes, design review approved, lnternati al Building and Residential 1 New ( ) Addition ( ) Remodel~ Repair ( )
1: Codes a other o inances of the T applicable thereto. 1 Other ( ) x ~--Owner/O r's Repres Type of Building: Single-Family ( ) Duplex ( )
Applicant Information
1
Multi-Family )SQ Commercial ( ) Restaurant ( )
I 1• Other ( ) ________ _
j Applicant Name: -----------------! .• Provide BOTH square footage of area of work ! Applicant Phone: : AND Valuation (Labor & Materials) I I I Applicant E-Mail:-----------------
! Additional Authorized ProjectDox Users
I i 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
'Amount of SQ Ft.:~ .. --'02..........,0~0~--------
: Electrical $:._"""~_za_,.._t'._7_~-----------
Date Received:
I