HomeMy WebLinkAboutE16-0123.pdf Department of Community Development
75 South Frontage Road West
•
Vail, CO 81657
TOWN OF VAIL ATel: 974-479-2139
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:
5)147 G-0(e C !r-ck Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Electrical Permit#:
Project Information: I
Owner Name: 57,-/7 a-e)re eir[le Lot#: Block# Subdivision:
Parcel# o_09q-1� -a� CtI
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.uslpatie)
Contractor Information 5 "' ea) sl�J`� a r.�..-�,/1 .
Qc+�_N
l !
Business Name: rF'Ctuli,Q/SU4►�v.� ! r�
Business Address: 27 D sit✓er-keI s Cr
City Ff:<<rp1 State: ea Zip: g7y9I
Contact Name: Ra"',4' 11'k.,8 le
Contact Phone: ••
(use additional sheet if necessary)
Contact E-Mail: r _, _
1 hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (mss ( ) 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(iij�Addition( ) Remodel ( ) Repair( )
codes,-design review approved,International Building and Residential
Codes and other ordinances of the Town applicable thereto. Other( )
X (/14-Atatilj
Owner/Ow is Represent ive Signature(Required) Type of Building: Single Family Q/�Duplex( )
Applicant Information 4 Multi-Family( ) Commercial( ) Restaurant ( )
/ri (Other( )
Applicant Name: C( € ( vvtrl lug 5
�I Provide BOTH square footage of area of work
Applicant Phone: 'f 70- _�7 6- 39,I ++ !! -- y AND Valuation (Labor& Materials)
TCA E-Mail: �p...)9 C J g' �3 hLCu! ,to Amount of SQ Ft.: J1 cd002
Additional Authorized ProjectDox Users
Electrical$: L3�5-00°S
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth #
Rev.2015-Dec