HomeMy WebLinkAboutElec Application_2.pdf Department of Community Development
75 South Frontage Road West
TOWN OF VAIL ` 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:
/• Va � ) `.zin ( Project#:
(Number) (Street) (Suite#) Building Permit#: B16-0264
Building/Complex Name:(,n2 l] Electrical Permit#: E16-0139
Project Information:
Owner Name: ` cAttLIC, 7�� f7(�1(.�tl -r,�s'} Lot#: Block# Subdivision:
Parcel# lin l" Z- b 7-Ot2 I
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
gRAO -+r CN — 2"-)C.Contractor Information 1r
Business Name: 1-Th \ J`"�1 y4-
Business Address: ` `,��"� �S (\ ' " c
City State: Zip: R \U
-f r Cc\ W�\,
Contact Name:
Contact Phone:
(use additional sheet if necessary)
Contact E-Mail:
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)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(C ) Addition (C) Remodel( Repair(C)
codes, design review approved,International Building and Residential / _
Codes and other ordinances of the Town applicable thereto. Other(C)
Owner/Owner's Representative Signature(Required) Type of Building: Single-Family(n, Duplex(n
Applicant Information Multi-Family`( Commercial (C) Restaurant n
5� Other(n) /�
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation(Labor&Materials)
Applicant E-Mail: Amount of SQ Ft.: l Z�
Additional Authorized ProjectDox Users
Electrical$:
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec