HomeMy WebLinkAboutE16-0102.pdf Department of Community Development
• 75 South Frontage Road West
TOWN OF VAIL'°lir '
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
II Project Street Address:
/ Project#:
��� (/l Lop a s t,r,-0 Gt✓L- . � i 1
(Number) (Street) (Suite#) Building Permit#: (( /� �;
Building/Complex Name: V fAi( -)Gt _ N� Electrical Permit#: �f k) V I Vp--
Project Information: V
s.
Owner Name: h'^ 12-0) Lot#: Block# Subdivision:
Parcel# 2/0 /0C3 i .7 02-6 li
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit j Define Scope and Location of Work: 69/1.460
www.eaglecounty.us/patie)
Contractor Information J C t`S 1\1) i\" 0r9 4/ ( p4` c /,
Business Name: EA g; P ticc.67-c <<� kic w K-1 /1)4t. - )
Business Address: j/)8Oit l
City �ci�,, ?)S State: ( D Zip: x/632
Contact Name: 47C
Contact Phone: i70— 4i 7/ —nj 0 f
Contact E-Mail: e/4a-/L•lG/e c/.^r 1....,, C /�j Lzi.S h.Lim7 (use additional sheet if necessary)I '�(gyp�
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes No
information required,completed an accurate plot plan, and state that all , NK
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 g Repair( )
codes, design review a.proved,International Building and Residential G
Codes and other• .i'f.nc- f he Town applicable thereto. Other( )
X11
/l% 11 Type of Building Ingle-Family( ) Duplex( )
1
Owner/own- Represen ative Signature(Required) '',
Appl' Information I Multi-Family Commercial( ) Restaurant( )
Other( )
Applicant Name: C _
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&,Maat�erials)
Applicant E-Mail: l Amount of SQ Ft.: 63 )
1
Additional Authorized Projec 'o sers Co
l Electrical$: ?a)
Full Name: k
E-Mail: W
�', Date Receive •
Full Name: �n
E-Mail: 1 E I� \Vf '711
D
For Office Use Only: -, MAY 20 2016 J
Fee Paid: ( [ U
Received From:
Cash Check# TOWN OF VAIL )
CC: Visa/ MC Last 4 CC # Auth #
Rev.2015-Dec