HomeMy WebLinkAboutE17-0020.pdf Department of Community Development
75 South Frontage Road West
TOWN OF V►4lL ■ 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:
(o O 1`�L Gc Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: Llort SAURrz. Lo966
Electrical Permit#:
Project Information:
Owner Name: CONDo ow*�sczs Rssoc., 01..) Lot#: Block# Subdivision:
Parcel# 210 101 201 ol99
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie)
ADD
Contractor Information I C `) (5 p (�Vo -
Business Name: EPS[- EL .Cfl C � �I T �UUF� 1T L—��
Business Address: ll l D Fl[zE7+F orLn1 c�
K ur i2/1-1 L. /-[ D 24/L. Bs
City R-L9LE State: CO Zip: 81650 NIS' A-LLeD CYF G�[17o
Contact Name: Tun L-w tLEcN - g si-pr\ras L 'D 1-N Gt 1 U t✓V T
Contact Phone: 970 - 3ocl- 4z :=7 A-12--• Ps-,Cf f2o1C(M+4�L�' [5 of LrD
Contact E-Mail: x`Ptz-I-Er �rr�c0 ae y,w00, c,opvt (use additional she t if necessary)
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: ( )Yes (>C) 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(X) Addition ( ) Remodel ( ) Repair( )
codes, design review approved,International Building and Residential
Codes and other ordinances of the Town applicable thereto. Other( )
TypeXSingle-FamilyDuplex
O ner's resentative Signature(Required) of Building: ( ) ( )
Applicant Information Multi-Family(X) Commercial ( ) Restaurant( )
Other( )
Applicant Name:
Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail:
Amount of SQ Ft.: I\1/A
Additional Authorized ProjectDox Userso0
Electrical $: 2500
Full Name:
E-Mail:
Date Received:
Full Name:
E-Mail:
For Office Use Only:
Fee Paid:
Received From:
Cash Check #
CC: Visa / MC Last 4 CC # Auth #
Rev.2015-Dec