HomeMy WebLinkAboutE16-0118.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL ' 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 Address:
127,147x2,167 Rockledge Rd. Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Mutiple dwellings, 1 TOV street Lt
Electrical Permit#:
Project Information:
O, me: Graebel x2, Beer families/Vail QPR Trust Lot#: Block# Subdivision:
Parcel# • O " O? 2_0 -- 00
( .r• I#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
eag lecou ty.us/pane)
Re-working existing (5)over head electrical service
Contractor Information
Business Name:
M.D. Moller Co Inc to 1 new pedastai (5) underground electrical services
Business Address: PO Box 2153
Avon CO 81620
City State: Zip:
Contact Name: Mike Moller
Contact Phone: 970-376-8785
Contact E-Mail:
mike@mdmoller.com (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: 0 Yes Q 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 zoning and subdivision New Addition Remodel Repair
codes, design review approved,International Building and Residential (� (® p t^�
Codes they ordinances of the Town applicable thereto. Other a Re-working old /installing new
X Type of Building: Single-Family(® Duplex(l
Owner/Owner's Representative Signature(Required)
Applicant Information Multi-Family® Commercial® Restaurant C)
Applicant Name:
Mike Moller Other 0 Mutiple single family's
970-376-8785 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
mike@mdmoller.com
Applicant E-Mail: Amount of SQ Ft.:
Additional Authorized ProjectDox Users Electrical$:$5,000
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail: (�`� n �/J (�
For Office Use Only: D E `c tl \'/
Fee Paid:
Received From: j JUN 0 2016
Cash Check #
CC: Visa/ MC Last 4 CC # Auth #
Rev TOWN OF VAIL
2.015-Dec