HomeMy WebLinkAboutE16-0154 Application.pdf Department of Community Development
A 75 South Frontage Road West
Vail, CO 81657
TOWN OF VA I!$
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:
1 °3n 4 ?j(-,( 32 ,.rt-X *-VO Project#:
I(Number) (Street) (Suite#) Building Permit#: ZV, 02A C
_
Building/Complex Name: 7 hCJ LAO,
Electrical Permit#: E IC.- C'.,S
Project Information:
Owner Name: 3l uc AouvA-c;v. __Iw e -ev Lot#: A Block#5 3 Subdivision: \10::.\\ Vt11 c
1 Parcel# Z (ot b427-z, `"3 coci i
j(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: Ne v,ae
www.eaglecounty.uslpatie) I(
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iContractor Information 1 \\-- t
Business Name: 1,01A. - ",U6r k \-re, <- J
Business ytpAddress: 33\ \AA-CAT. kV �v,:\• 3 �"^`� � ov�1y ,
City U e), State: (c-) Zip: 53)H2O
Contact Name: \ o\4_ Aci. \t'vv-
Contact Phone: 9-70-'3-7 G. -(....5 1
t Contact E-Mail: `1\w WG WL:,irc fw<✓ 4,AY:c-o cc.) ,„, (use additional sheet if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (0)Yes 0)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:
j and to build this structure according to the town's zoning and subdivision New(0) Addition( Remodel( Repair
codes,design review approved,International Building and Residential
Codes and other rdinances f the Town applicable ereto. Other(C)
I Owner/Owners Representative Signature(Required) Type of Building: Single-Family( Duplex(( i
Applicant Information Multi-Family(C ,Commercial((j Restaurant C)
Other 0) e
Applicant Name: -1 _— U34 i- r -.-71-ec r,el c
Provide BOTH square footage of area of work
Applicant Phone: ch() - 6,-65 1 AND Valuation(Labor&Materials)
Applicant E-Mail: F)\aV-� i\�
€ uD\ , -,-c iJ of e..-\\ec‘cr_.ce,w I Amount of SQ Ft.: 3-757 l o \ .5/„._� r
Y�
Additional Authorized ProjectDox Users
!Electrical$: 260,000
Full Name: 12: CAI.,,,
E-Mail: ck',c_ki‹.@ W\n.,\-c C i o*-.r arNvi c_,co vv,
Date Received:
Full Name:
E-Mail: 1
I
For Office-use Only:
Fee Paid:
Received From:
Cash _ Check#
CC: Visa/MC Last 4 CC# Auth#
Rev.2015-Dec