HomeMy WebLinkAboutE17-0037.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 Inciudina 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:
cl geo,,ve�I�atwt Uo� Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: N/A
Electrical Permit#:
Project Information:
Owner Name:- K e r'ri- C(, Lot#: Block# Subdivision:
Parcel# Z.10 - 13 - 037
(For Parcel#,contact Eagle County Assessors Office at(970)328-8840 or visit Define Scope and Location of Work: S SH gQQ.Vie r t •;trt Pwc"c
www.eaglecounty.us/patie)
Contractor Information n11� �/ (-C. Anel heP(ohc f
Business Name: E/. Q. P Elo 4 r, c Otl' e1eC-h- Cat Sy S4 WtS- Re AC e W+ A.1
Business Address: 2-16L-d�,t (//l� etvo A-20.! net,./ ole r vcrAI $Y5leIMS to C(,tr`lrev��
City State: CQ Zip: $/6 3 2
Contact Name: `1 e h'e'm p r
Contact Phone: 4'71 -�47/--
utq r P(c c h;l n,fn, (use additional sheet if necessary)
Contact E-Mail: &kr,
I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (, )Yes C)No
information required,completed an accurate plot plan,and state that all
the information as required is correct. I agree to comply with the infor-
mation and plot plan,to comply with all Town ordinances and state laws, Work Class:
and to build this structure according to the town's zoning and subdivision
codes,design review approved,International Building and Residential New(% Addition( ) Remodel(r) Repair(C)
Codes and other ordina of the Town applicable thereto. Other(C)
X
Owner/O er' epresent tivre(Required) Type of Building: Single-Family(: , Duplex((
Applic Information Multi-Family(C) Commercial( ) Restaurant(C)
Other C)
Applicant Name: C 01.0I gkr-li,zevna n
Provide BOTH square footage of area of work
Applicant Phone: 9—/C, - i{C{c, -7074
AND Valuation(Labor&Materials)
Applicant E-Mail: Co -(c ch in.; C JYVI
Amount of SQ Ft.: GS'a°
Additional Authorized ProjectDox Users {� I I 000
�l cr L ho(rat� Electrical$: J6
Full Name:
E-Mail: IA(c e to i f(J i t; 1+ . CO yh
Full Name: j St epk e h'01C
Date Received:
l
E-Mail: 1. .z)1,-,6p (n j sr (44+ -C4 W
For Office Use Only:
Fee Paid:
Received From:
Cash Check#
CC: Visa/MC Last 4 CC# Auth#
Rev.2015-Dec