HomeMy WebLinkAboutE16-0119 changed contractor.pdf Department of Community Development
75 South Frontage Road West
TOWN OF UAII 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:
1414 Moraine Drive Project#:
(Number) (Street) (Suite#) Building Permit#: B16-0222
Building/Complex Name: Electrical Permit#: El 6-0119
Project Information:
Owner Name: 1414 Moraine Drive LTD Lot#: Block# Subdivision:
Parcel#
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www eaglecounty.uslpatie)
.. ...... , _..... .. ..._.. ,__. New Single Family Residence
Contractor Information
Business Name: Pro-Electric Incorporated
Business Address: 1616 Mount Evans Drive
City Leadville State: CO Zip: 80461
Contact Name: Randy Flores
Contact Phone: (970) 390-6209
Contact E-Mail: rpro65@yahoo.com (use additional sheet if necessary)
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
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(e) Addition( ) Remodel( ) Repair( )
codes,design review approved,International Building and Residential
Codes and other ordinances of the Town applicable thereto. I Other( )
X � �.. ..
Owner/Owner's Representative Signature(Required) Type of Building: Single-Family(S) Duplex( )
Applicant Information Multi-Family( ) Commercial( ) Restaurant( )
Applicant Name:
Brian Gillette Other( )
970.390.7981 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: brian_gillette@gillettellc.com 4752
Amount of 50 Ft.:
Additional Authorized ProjectDox Users Electrical$:75,000
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only: RECEIVED
Fee Paid: NOV 1 / 2016
Received From:
Cash Check #
CC: Visa/ MC Last 4 CC # Auth # Town of Vail
Rev.2015-Dec