HomeMy WebLinkAboutE16-0135.pdf Department of Community Development
75 South Frontage Road West
VAIN' Vail, CO 81657
TOWN OF
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:
2.Z1 I N. Frot-1TA&e NoAp Project#:
(Number) (Street) (Suite#) Building Permit#:
Building/Complex Name: ` Ol-1124.:I" 11-13-4Electrical Permit#:
Project Information:
Owner Name: TN' -- 1 t i3r ,Avo VAN- -IrL.G Lot* Block# Subdivision.
Parcel# 21O7 114 ' 1z - 0V7
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty.us/patie) 1� -Toms N i P&M,6 0 � lor.
Contractor Information \ L
Business Name:
To �� Z7 rimy' IX-rmi WS To Cop. CoMPL1A>4(
Business Address: iU1%5
City State: Zip: ?2 rLAG -A` � P e
Contact Name: _ _ I tt NeeLAC 1v1 N`1
Contact Phone: 1,t-r"1- "N(lq
Contact E-Mail: (use additional sheet if necessary)
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 (r) Remodel (Y)f Repair(C)
codes, design review approved,Int rnational Building and Residential
Codes a dot r ordinances of th own applicable thereto. Other( )
Owner/ Represent a Signa re (Required)
Type of Building: Single-Family(C; Duplex(C
Applicant Information Multi-Family(C) Commercial (y/ Restaurant(C)
Other C)
Applicant Name: 5t4WARt7 54-1.46t1-1W WIC 1.11 Waz>iRS
[foOF Provide BOTH square footage of area of work
Applicant Phone: 1f 301) 30 -J2-c')D AND Valuation (Labor&Materials)
Applicant E-Mail: E, 14A6 f.[ WIPE 14A1EFS. 66:30 Amount of SQ Ft.: > i 000 SP
Additional Authorized ProjectDox Users Electrical $: 7r2.!coo
Full Name: T1I0MAE t7o 5F -.4
E-Mail: Tr>917505+i1~*V(l-L . r•OtNIL
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