HomeMy WebLinkAboutE16-0188 Application.pdf Department of Community Development
75 South Frontage Road West
Vail, CO 81657
TOWN OF VAI[. ' 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:
2800 Aspen Lane Project#:
(Number) (Street) (Suite#) Building Permit#: B16-0037
Building/Complex Name: Private Residence/Duplex
( Electrical Permit#: E16-0188
Project information:
Owner Name: Roland J Kjesbo Lot#: Block# Subdivision:
Parcel#210103404015 jE
(For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work:
www.eaglecounty,us/patie) I
I Reconect new boiler and change electrical for new
Contractor Information
Business Name:
QQ Electric bathroom layout
Business Address: PO Box 242
Edwards : 81632
City COState: Zip.
Contact Name: Bruce Quesenberry
Contact Phone: 970-471-1954
Contact E-Mail: equesenberry56@yahoo.com i(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 infer-
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 (t') Remodel(() Repair(C)
Codes and o e rdin of the Town applicable thereto. I Other((-7)
X �✓ Type of Building: Single-Family(C Duplex(
Owner/Owner's Representative Signature(Required) j
Applicant Information Multi Family(C) Commercial (C) Restaurant (C)
Roland J Kjesbo
Other n)
Applicant Name: t
pp 970-845-1001 Provide BOTH square footage of area of work
Applicant Phone: AND Valuation (Labor&Materials)
Applicant E-Mail: rollie@nedbo.com 1000
Amount of SQ Ft.:
Additional Authorized ProjectOox Users 5000
Electrical$:
Full Name:
E-Mail:
Full Name: Date Received:
E-Mail:
For Office Use Oniy:
Fee Paid:
Received From:
Cash Check#
CC: Visa/ MC Last 4 CC# Auth #
Rev.2015-Dec