HomeMy WebLinkAboutelectrical application_3.pdf Department of Community Development
• 75 South Frontage Road West
TOWN OF VAIL`
Vail, co81657
Tel: 970-479-2139-2139
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:
Z5z E,I me.ocDoJ pa., (%l / E Z Project#:
(Number) (Street) 'I4 V Z
(Suite#) Building Permit#: 'I'4 -6 a
Building/Complex Name:Via 414UI44h1,t/ CD6E. qA Electrical Permit#:
Project Information:
Owner Name: Lot#: Block# Subdivision:
Parcel# el O/ 22 55-6 0 3
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
Contractor Information -^mPo ffi 4// `97. 97sd�+f
Business Name: {C� �_�122i G
Business Address: ._5(4, CIAW&Z5 C-/-1/e/r 4-3
City AgtE State: Zip: 8473/
Contact Name: /4A/2,,Y
Contact Phone: 770— 7 1.(0 Y
Contact E-Mail: L�/2�s u� c,G/tL'rfll�;/ vel (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
codes,design review approved,International Building and Residential New Addition ( ) Remodel ( ) Repair( )
Codes and other ordina es of the Town --•licable thereto. 'Other( )
X
Owner/Ow Ir's Rep enta lye Signatu • (Required) Type of Building: Single-Family( ) Duplex( )
Multi-Family(/j Commercial Restaurant( )
Applicant Information
Other( )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: I Amount of SQ Ft.: /i7, OOO
Additional Authorized ProjectDox Users Electrical $: 9 9 5
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid: MAY U ; alb 0
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth # TOWN OF VAIL
Rev.2015-Dec