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B12-0212
NOTE: THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES : �nwwa�v� � Town of Vail, Community Development, 75 South Frontage Road, Vail, Colorado 81657 p. 970.479.2139, f. 970.479.2452, inpsections 970.479.2149 COMBINATION BLDG PERMIT Permit #: B12-0212 Project #: PRJ12-0276 Job Address: 2456 CHAMONIX RD VAIL Applied.....: 05/30/2012 Location......: CHAMONIX CHALETS BUILDINGS A& B Issued. . . : 06/0712012 Parcel No....: 210314106000 OWNER CHAMONIX CHALET CORPORATION 05/30/2012 APPLICANT SHAW ELECTRIC INC 05/30/2012 Phone: 970-926-3358 DAVID SHAW PO BOX 1451 AVON CO 81620 License: C000003142 CONTRACTOR SHAW ELECTRIC INC 05/30/2012 Phone: 970-926-3358 DAVID SHAW PO BOX 1451 AVON CO 81620 License: C000003142 Description: COMMON ELEMENT: REPLACE EXISTING WIRE, CONDUIT AND METERS WITH NEW. BUILDINGS A AND B. Occupancy: Type Construction: Valuation: $22,000.00 ......................................«,...,...................«.,........,..:.... FEE SUMMARY ...«..__...,............,..,..,,.,.....,,,......,...,....,.....,,...,.,...,,,., Building Permit----------> $349.25 Bldg Plan Check-----> $227.01 Use Tax Fee-------------------> $240.00 Electrical Permit-------> $747.50 Elec Plan Check-----------> $485.88 Restuarant Plan Review-------> $0.00 Mechanical Permit---> $0.00 Mech Plan Check-------> $0.00 Additional Fees----------------> ($576.26) Plumbing Permit-----> $0.00 Plmb Plan Check--------> $0.00 Recreation Fee--------------------> $0.00 Investigation----------------------> $0.00 Will Call---------------------_> $5.00 TOTAL PERMIT FEES-------------> E1,478.38 Payments-----------------------------> 51,478.38 BALANCE DUE-----------------------> $0.00 wxr��x�+xr�r+�+x��:x��+.ar++++�:i�::�:�+�::��+.,�:::tk:::+.ww:rx,�w�+.+w:s.:�i���:,�+r��+:���t�itt�irtttttt�tti��s.�ssws.�ttwr��xt�rwtw�te�wew,rrw»wr.wxxwx,ewwwxx.x...�...r�:�:�i�:r��af+��:ir.� DECLARATIONS I agree to comply with the information and plot plan, to comply with all Town ordinances and state laws, and to build this structure according to the town's zoning and subdivision codes, design review approved, International Building and Residential Codes and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE AT 970.479.2149 OR AT OUR OFFICE FROM 8:00 AM -4:00 PM. combination permit_012811 � � ����M� lf�iiiJ 1 •+�,tr:::::ww���:��wwi,eti�r:ew��a��rr�r��:awww�wwwwwww�:w�e�e»�,erceerc�,�rw����++w+�+wwwwww�.w:s.w♦xwww��:zw�►en�r��t�w�rt�w����+s.:�www:wwiws.wrw��xi,eeer,rw��wrrv.ir�ts�arst�ra��:�r:��+.r.s.yw CONDITIONS OF APPROVAL TO BE MET PRIOR TO FINAL SIGN OFF Permit#: B12-0212 Address: 2456 CHAMONIX RD VAIL Owner: CHAMONIX CHALET CORPORATION Location: CHAMONIX CHALETS BUILDINGS A& B xxewr�xwwxrw��3r�»r+��tit�t�3riw�:trx::��wr���:�w�+�wrv,rx��eeeww�e���,r�t�t�trtz����tr��»:ii�a�rat+r��w++.�k+x+��«xxwwvw�x:w:w:�e.w,rw�re����,r�rrtr�txr+xw�:ttta��r���i�t�:�r�ir��»:.. combination permit 012811 i 1 T��VNOF YAIL ' ****.*�*...**.,****�,.***..***********..*„**.****.*.**.*,******.****�*�**�**.*.**..*.*�***********..*******,.*****,**�***,�.�***�***�*..***,*,***...�*** REQUIRED INSPECTIONS AND STATUSES Permit#: B12-0212 Address: 2456 CHAMONIX RD VAIL Owner: CHAMONIX CHALET CORPORATION Location: CHAMONIX CHALETS BUILDINGS A& B .,*.**«.,.*«*.****.*..,.*.«*****«...�***��.***«.««****«*.«*««***.*..***««�*.*«**„*«****..«...**..**...*.***,►.,,*************...**....**.*�.,.�...,.**.«*«*** Item: 00120 ELEC-Rough Item: 00130 ELEC-Conduit Item: 00190 ELEC-Final Item: 00090 BLDG-Final combination permit_012811 *******�**�**************�************��s*************�***�*�********�*****************�***t TOWN OF VAIL, COLORADO Statement ****�***�«****��*�*********�********««***�*******:�*�«*******«****�*�************�****���*«* Statement Number: R120000624 Amount: $485.88 05/30/201208:23 AM Payment Method:Credit Crd Init: RFD Notation: Karen Shaw ----------------------------------------------------------------------------- Perm.it No: B12-0212 Type: COMBINATION BLDG PERMIT Parcel No: 2103-141-0600-0 Site Address: 2956 CHAMONIX RD VAIL Location: CHAMONIX CHALETS BUILDINGS A & B Total Fees: $1, 478.38 This Payment: $485.88 Total ALL Pmts: $485.88 Balance: $992.50 *��**r**�******.**��***r*r*******************�***�*��r*r***********************�*******�***r ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ ; PF 00100003112300 PLAN CHECK FEES 485.88 ----------------------------------------------------------------------------- :: ***r****�**********************************�+***t*************************************�***** TOWN OF VAIL, COLORADO Statement ***�*�*�**�*����**s***�***�*+*************+********r**:**+�*********�*�*+********r****+�**** Statement Number: R120000674 Amount: $992.50 06/07/201204 :24 PM Payment Method:Credit Crd Init: DR Notation: VISA 9826 SHAW ELECTRIC ----------------------------------------------------------------------------- Permit No: B12-0212 Type: COMBINATION BLDG PERMIT Parcel No: 2103-141-0600-0 Site Address: 2456 CHAMONIX RD VAIL Location: CHAMONIX CHALETS BUILDINGS A & B Total Fees: $1, 478.38 This Payment: $992.50 Total ALL Pmts: $1, 478.38 Balance: $0.00 ******�***************�+******************************�***********+*******************�****. ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ EP 00100003111100 ELECTRICAL PERMIT FEES 747.50 UT 11000003106000 USE TAX 40 240.00 WC 00100003112800 WILL CALL INSPECTION FEE 5.00 ----------------------------------------------------------------------------- . . . . �. ..-.-,.... T-�-. TOWN OF VAIL C�M DEU 15 S fRONTA6E RD, = : UAII� CO 81651 � 978-4)9-2324 � � � TERMINAL I.D.� zeeZ � � � '� _; l�RCHANi N: � UISA �826# MAIL ORDER BAiCH: 888494 I NU:000002 AUTH:00740B JUN 07� 12 15:08 TOTAL #992.50 CUSTOI�R COPY 0I —1 01-24-2014 Inspection Request Reporting Page 5 4:12 pm Vail, CO - CityOf i2-On- (P Requested Inspect Date: Monday,January 27, 20 4 Site Address: 2456 CHAMONIX RD VAIL CHAMONIX CHALETS BUILDINGS A&B A/P/D Information Activity B12-0212 Type: COMBO Sub Type: OTHER Status: ISSUED Const Type Occupancy: Use: Insp Area: Owner CHAMONIX CHALET CORPORATION Contractor: SHAW ELECTRIC INC Phone: 970-926-3358 Description: COMMON ELEMENT: REPLACE EXISTING WIRE, CONDUIT AND METERS WITH NEW. BUILDINGS A AND B. Requested Inspection(s) Item 90 BLDG-Final Requested Time: 08:30 AM Requestor SHAW ELECTRIC INC Phone: 970-926-3358 Comments 390-8307 Assigned To SI. -,ud Entered By: JMONDRAGON K Action Minim"# Time Exp: Item 190 ELEC-Final Requested Time: 08:00 AM Requestor SHAW ELECTRIC INC Phone: 970-926-3358 Comments 390-8307 Assigned To SG'`Y Entered By: JMONDRAGON K Action 40,141/. Time Exp: Comment : n• Inspection History Item: 120 ELEC-Rough **Approved** 07/10/12 Inspector: sgremmer Action: PI PARTIAL INSPECTION Comment: Building A only 07/13/12 Inspector: sgremmer Action: AP APPROVED Comment: building B Item: 130 ELEC-Conduit **Approved** 07/13/12 Inspector: sgremmer Action: AP APPROVED Comment: Item: 190 ELEC-Final 07/13/12 Inspector: sgremmer Action: PI PARTIAL INSPECTION Comment: Building A Item: 90 BLDG-Final REPT131 Run Id: 14680 FROM :SHAW ELECTRIC FAX N0. :9709263358 May. 25 2012 08:09RM P1 ;:' pepafinent of Community De�elapment 75 South Frontage Raad ;' '`,�„''� Vail,CO 81657 �'��+� �����- � T�1:97Q-479-2128 . www.vallgav.cam , De�elopment Revlew Cvardinator � �UI�DING �'ERMiT A�'I��,ICATIQN . . {Separate applications are required for alarm &sprinkler} .............�--�-�---�----...,:_._..._..----------._.....,..._.--•---.._.:_ ...�-- - P �e�t sereet ndaress:. �°�.,.�~..... p� ec��: R 5 – Ov'� � ��5�� C.�� v�`�.l.�t�� #3� _�� _ , !fNumber) {8treet) (Sufbe#) DRH#: . ��Lrl'71�YD1 ��•Y�Q `�-� Suflding pemtit#: ' ;BuildingjCamplex Nams: �- � _— . .' Lot#: Blodc# SubdiviSion: ���v�traator�nformation . 1;Business N�m�:,�J, � �1.��Lf`i G-�•�1 C`- -- a._. .....,_�,.,...�-�-••--•-•-------•_�.._...__._...•--•----------�---.._...._. i �S� �� ���1 . � ' �Work Ctass�New�j Addfior��j Alteration(� � Busir1�55 AddreSS= _� ` �'��;Type of BuildiA � ;City � St�te:�_Zip: ; ! ` � �� �Single-Famify�j Du�iex(�) Multi-Famiiy�j , ;Con�ac#�tsme: "� h�G2� t�Q�C�Q. Qf�;Comm�rc�a��j Other�j �Gant�act Phone: �Jq�–$'�G� �'7�llb�� s:._:_..==_--=:... _.._.._._--..–_.—=_=--.... ...__..—_---�� '. ,,,_'1� � � ;Wark Type: Interior� �xteriar� Both� ;Cqntad E-Msll:� .,��„FP+Y�1��'`,�1Q1.��f�_L�Q , • ; i ` . �___:-::;::==-::•__�`—:::_:::°:?.::::�-_-____ Valuation af� � I hereby acknowledge that 1 h�ve r�sd this appiicatian,fiAed ottt r' W��nduded f'lans indud�d Work t ; in full the informa#iCn required,complet8d an accurate plot plan, i ° ! and state that aN�e infprmation as required is correCk �8gree to �'Efectrical -����Yes��Na ,Yes ���W 2 i corr,ply wittr the infam�ation and plot plan,to comply with gli'Town s t � ordinances and state laws, artd to build this struda�e acc�ding to y��a��� �Yes �)Na �Yes �No � the tov+m's zaning and subdivision codes,dasign review ap- k �� ; proved,Intematianal Bullding and Resident3ai Cod�s and other �Plumbin8 �Yes �jNo �Yes �fVa �: i :, prdir�anc s of the Town a plicgWe thereto. :guilding �Yes �Na �Y9& �No % . • .......__�-�--•---•— ---.._....,•.•.�"'; � `�� �� t ValuB of all wo�lc being perEarmed: $ ��� � ;pwner/ er's Represen�t�ve Signature(Requ�red) g(valu�based on�BC Section 909•3&iRC 3ectlon 108.3) ; i �Etectrical square�ootage • 1 � : _....,...,�,� . .. ... H,,..,,,�-R.,.- � �APPlic�nt informatian t Detalted Scope and LocaY�on of Work: !AppliC�ntN�me_�f)QIrYZC�I�I?�. �'�IG�1�:°�C�J�:'P �� !1. � SP -- C.�.,��4d , `' ; i Applic8nt Phone:��`�'�` Y UI'�df ���'� g'��� i �' �' : :Applicant�-Mail: ; ,.,l�Lr �-c"}� t.L.a��Yf�P�C.J Lt.��'�_� �Pro�ect tnformation (� /� �;— 6 n'�r.c.`'�'� [�� Wt�°='��'� , ;C�wner Name• I�Y1D Yl� J�. :Irl 'e�`-Q � j � � f� t�6!�A5 + i Parcel�e:a��0�] ft-�'� ��0_00° f'� or75" - � � F� Q4'�— #; t(�or Pskcal�.cw�tsct Esyle County AssossorR C�fN�e st 1970328.8640 or visit �rwrw.ea8lacounty.usJpada) si ,......w..,,,....,.._�,... �_......W.....W.WM.W.,.�..,,,�...._..-------..__._.....W_._..,..,...._� tuse addition�l sheet if nece&53ry} Fow O�ce Use t5nly: DAte Received: � � � � � � Fee Pald: D }teoeived F7'om: �,,� �# MAY 2 5 �u7z CC; Visd J MC Last 4 CC#� exp date: //AM �# TOWN OF VAIL . . . . . iz-�.zo�z FROM :SHAW ELECTRIC FAX NO. :9709263358 May. 24 2012 08:36AM P1 SHAW�L�CTRIC •�: �Q„�. ����.��� � �-ZVr o-�... I��i( � ��F�tz- � . l � C-'+'w(.��'V�a ��.�-1 l�C-� s � `f'- � ' ���:�� � C �ce�nor� , �c 1 � /' / r� / � -�Z,.��s � ���s E L.�.C�� � d I CLt lGc f�OY��`�(���. �,Q,(. J�G[-t�c�•t� ' � � pv�i l��l. d� {�L�, C�-a s� -�'�-'�-��� , ;'c.(.10 -l . • d� �'u � � � � � ` � ����� �-, �I��t�.-�"1'-°1 . � ��P c-�rnc a�Q wa-�-tc r`s �a �.� (�-r.�. :��-e�f� � »a � { � � h.P.t,,v �a c��-;or�� � -�'v��.v��-'. p t i ' � . . � , � I�C.P.fit�-- PO Box 1451 �Avon, CO 81620� w.970.926.3358 � e.dsshawelectric@,gmai{.com FROM :SHAW ELECTRIC FAX NO. �9709263358 May. 24 2012 08:36AM P2 ,W-� =-- � FiCE LfSE ONLY HCE No, l.ocation Met�r Location Approved - Yes C7 No C� �ngineer _ Setondary ped. - New 0 Existing C� ��t� Seconda Voltage _ Trans Co # KVA: H�LY CR�SS �NERGY R�SIDENTIAL - L�Ai� 1NFORMATIQN AND METER Lt�CATtON F�RM is this�Temp Service Q Temp in Perm Position � Temp ta Perm Permanent Pas�ttian Applic�,ntl�Tame��GCd'ri��.i�t �hcr���fi� �f3`"P Fhone�f� �'�un-s, . '�O S'�d� SUSDIVISION LOT ,BLOCK .�'YLING PHYSICAL ADDRESS O'�'PRQJECT o� 5� `e�. t- , ` LOCATION: �V'it�in Cifiy Limits? No / es City of �Gr-: f If Iocatron not in city limits plesse provi�e co ownship,range and section. S$condary V'oltage: I QtU /� � Phase Secondary Wire Siae � ' �- l�`� N�cmber of canductors per pha C Cable�3ista�ace(Transformer to meter)_f.3�f� Meter Y.ocation: Q Poie St�'uct`pre [� Pedest.�l �-� NUMBERS ON FAC�OF TRANSFO�tl1��t(uPPei'left aad rigbt corners) Y/ �'__ N�.rby esisting meter number 2Q4 amp or less,self-conts�ined meter soGket , 4U0 Amp,self-canrained 1�service Main F'use/Breaker Size CT's required? ---- Photo'Voltaic �� E.`1.Z �r ��'� kW Serv'sce Si2L 1_ C� (ampS) Calculated Maximum Demand(NEC) �� " � ELECTRICIAN �r���l� �•��c� �.e-� _ P�.4NE,�'2-f� �335�� .��i�°-�30 NAME QF HOL�Y CRUSS EIYERGY EIVGINEER COI�FTACTED �� �������� S�+RVICE R QUESTED: New Service Upgrado�� I3otlse(sq.&)�.��� �"' Modulsr(si�e) atiler , ` E.I.ECTRI.G LdAD INFORMATION:�� Ltaf i�'" � t 4'c�,e�.. C�CG��ICx-��r/Yi-S GC�C�` Lightin� kW �ange: Eltetr;c kW eac�t(Nymber t or Cxas_...r,Y.---- ' Clatbes Dryer: Tkctric kW eac6(Na�nk�cr_ )or Ges Heat: E1t�Grtc,r„",,,�^k'9V(Type - 1� Naturai Gaa/Propsne 5mai1 applianse kR', l.aundry kW, Air Conditiauing �W watar Heater: �lectric��.kW cac�(Number .l�Fatarai Gw►/Propane Ot'lecr Ma,jor�feetric T.osds Soow�eft/Drive,Waikwacy+Gaiter heat tape��..,���W)� � FROM :SHAW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:37AM P3 . ���f/ V L..��V.�11�V t , ' �. � �,..r�c�t , � ��� �� t.�.._... �,t'! Qt'Y�[��n t�� �' �a����' � ..- - . ��'� C-G��r'rioni�c-. L...�- � Uv�:;�- . �,o�a�. C�[ �u^� �i on s ���Y . . � . . ��,i (-_ �i' � �k�►l� �� � . . � � 3�-� ��....�r--��-- �, 1���5� �' t�-�-� . �C';��� r.r�uf� �.cx.�c���� �o a � i� rL� �c � � f'�, _ -- t'S�b.C3 a, :s�N� l�` �..G��.t h� • �� d � � �d� ,�.p�l. 3�a o ��oo n7 .. ��� ��'% lS�` `�S� ��c � ��r.c�� .�- . ��"� � lS�S'" � 5�5 S x, 3�% ��� �S �'� �} l'Y1 i C�Y� 1�� ��� �� j�(,T°ts �� i--� �r.� � t a�� �; � ��aa . ��� ��� ��,� la�,b G� ��. ���.. sda� �t��j�• � �°d �� �d�,.� f S�U G�, i�.�� i�6 a ) .�f_ . .. . . . . ��L � �6� . ��r�ac� ��� af — �o�o t��c� ����� �ot� . �57� � t�'�'�b�c� . r75`� µ ��l��s" �r����of ; ,� `to �. . �� 3�s 7 � � ��i 13 t� � ��f�G ��'`�s �5 �5' , ��` �'p-'`p s �a" �o �-S �h i f" '"� '�vl�. � �f � t�t�� -� ��o � �� r'+�'� 2�`� '�' �r�" Lr trt;-�- � � v��, � �---�� � ��oa �c�. �- �-�- . PO Box 1�51 (Avon,CO 87620�w.970.928.835$��.dsshawelecfic(a�gmail.com FROM :SHAW ELECTRIC FAX NO. :9709263358 May. 24 2012 08:37AM P4 � 1-IQLY CROSS ENERGY RE5tbENTIAt� - LOAD lNFORMATiON ANQ METER tOCATION FORM (continued) On the space pravided belaw pfease sketch the structure site includtng roat3s, driveways, sidewalks, fentes,tr�nsfarm�r bcation (overhead or n�dergresund) and praposed m�ter location(s) or prr�vide site pfan. �utdoor rneters sh�i! be instatlec! in a location that is accessible at ai!times. The meter shail 6e located on the side waH ci�signated by Holy C�oss Ener�y within the front ane-third of that w�(t and to th� front of any prdposed fertcing. � N . �.c��.�i{�f� � } { . . I � � �,���,� °� � `f ��„� v�� . � � ,, -('U� �� ���. �Fz.n:��r o�r�i�� �.�Gt�'Y�.C�ln3�.,_. G..am�.. Physicaf address of project: �� �� -�'1 GZ�'h 6�1�. �-Lt..»�.. . �� i�e�r12 � � FROM :SHRW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:38AM P5 REMARKS : ' . �� � �r`� .�z,vc1 1c.-�c.� = . . . , � --- --- �� U •�l',� �-f!���C��� �n-►��►r-' . - _ ---�oc�c � arl. s��. .�- �c..�'(:d.n-�, � � �cz»2�� -.� �K-�� �� �r�'�.���vt,� --�— Field Cornmen#s: � This form ��irt be faxed to Ho1y Cross En�rgy at: ��Q-9�7-550�4 - Owner m�st tontad the Holy Cross Biiling departm2nt separatefy xo estabfish a billing ac�ouht befare the tonnect request C�n be processed_ After this fiarm is accepted as cQrrrpiete,a billing account estab#ished, and the service has been inspected by the eiectrical inspector, the approp�iate Haly Crass Energy office mast be contacted to request a c�npe� Avon - 949-5892 Glenwood Springs- 945-5491 ! certi�r �Chat the above information is corrett and that 1 hav� read the attached. "Canditians of Residential 5ervice" and und tand them. �, , ` .� l2-" G�'.e%f/l� tD of pplicaitqn) (App iCdrtt 5iynature} D- ��� �. ��`-���. C_`�.,-�-�.��� (Phorte) (Titlej- I/19/12 FROM :SHAW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:39AM P1 5�a��i� , SHAWELECTRIC � . C.'� a.�v� s�.. �:G�.I�-�s ��il�� ,4 � �u��� 1��� � �.�5C7 G�.�m c�n��C �-a�vt� ��-f� G���1�i oZ L-�r� . �c,rri i��i � � �c�� f�� . � a o � � a � , 0 � �{ u v��� µ'��- Uh�� � � . . .��' . . �P'ir C.. . . _� � Cs D b �'i:`��Y° n � �� �(� .01`3 . �t � , � : � '�1?� hs�+rYn�l�'� � . � � �- �arna»i�-- l..a.�� .. . _.. . . . �,,::_.... ., _._. __ . . � . � .. ._ . .... . _. .. . . .. .. .... .J`�' � .._ ... . .... . . ..�.. -... . PO Box 1451 �Avon, CO 81620�w.97Q.926.3358� e.dsshawelectric c(�,'Dgmaii.cam ,. i FROM :SHRW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:39AM P2 . HCE USE ONL.Y ' � Location MCE No. ,_�_ � No � Engineer l�leter LoCation Approved.- Yes� C�ate � Secondary ped. - New� Existing � KVA: 5etandary Volta e _....� Trans Co # .� .H���r c�oss �n��a��r RESIpENTIA� �- l�4AD lNFORMAT30N AND METER Lt3CATI4N F�RM �s this{�Temp Serrice � Temp in Perm Pasitian �[�1 Temp to Perm � Permanent Position .Applica�t Name �.��e��i�C.�GG��'�F� �a Pt�o�e '�'r,��--� a� 3`�a�- S'�'O`� SUSD�'t�SIO�i�,,,_..��,�,., LO`�'_ --,�LUCK,�,,.^s FILINC�_ P�YSICAL,AbDRE55 O�'PR()JEC�`�S?7 e_ a�r'7`a�. �s-�.. �t,c., (c�r /�k LOCA'�`�ON: within City Limits? No / es City of � Yf location not in city limits pl�provyde con tawnship,r�nge and section. Secondariy V�ltage: 1�_/ �- Phase Seco�dary Wire Six.e � C ~ Num�er t►f conductors per phsse Cable Distance(Trausfprmer�o�meter)l�?_ft Meter Locatio�t: [�Pble Structure . �] Pedestsl a3 � i�T(7MBERS ON FACE OF T�.2.ANSFU1211+�R(apper left and right corner�) Nearby egisting�eter number ZR4 amp a��ess,se�f-contaSned me#er socket 400 Annp,s�lf coetained 1Q�service Main I�se/Bre�k�a'5ize� CT's required? � �'hoto V�Itaic r__,�,�____ ✓, Calculated Magimum De�agnd (NEG� 7� S J�i�'W See-vice Size � (�mPs) +t-ev�i� � ELECTRICit�.N ` �.�+G ��� �'�IONE. �G--3�8! �R� ^ � NAME OR HULY CROSS EN�RCY ENGIAI�ER GUN"fACTED �Q�' ���"�"r`� -- -- SERViCE RE U�:3TF�D: , NCw Service Upgrade �iw�e f�-�1_t����� Modafs�'(siu) Otber ��c�rt�c�.oAn uv�o�r�►sroN: -'�-�t urn s t" _ lro� Ga.(c�c-(a.F;a»$ �'�����" Y.ig6ting��kVV Rangt: �lectric�,,,_kW�ac6(lVombcr� _ )or Gss_„_ Clotbes Dryer: Electric kW each(l�ipmber or Gas _...�- Hea� �leetric,,,,,_kW(1`ype '• ---)+ Naturxl CrA8/�opsoe Smsll applixnce gW, i.�andry kW, Air Couditfioning�,,,,...,.kW Wste�Heater: Eleatric��k�V eac6(Number Natural Gas/P�ropane _,,,.�,..,r 4tber 117s,�or'Ek+ctric Laads Snowmtlt/DrivG WalkwBY+Gutter heat tape�,,,,��..(k�� FROM :SHAW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:40AM P3 �� . . � SHAWE�,�CTRI� � � . , . . . . � � F3 �,.�l�� ,4 ������ c�__ � �� �rrr�c��t�. C'Gta���� � . � a�-f��C� C'.�►ar'Y!�r`v� �h> � � , U�� � . . {�,d�dL. C���r.����h on s� �'�er . . � � t�rn.� F- '�' �k3 i l� �f � ?(5 .Z``�.'b X. '� ' �� � 1� i.�-'a--� 3C��� c,vat� � �a.t,�w`� � � � � ��� P � r� 2. �v� Q��. ._ �� E��� ��� " � ���0� �- s�'� '�P�' -��-- � ��b� q��3S°�a tS�S � 3/oC� � 3�c � l S�S" 4 S�� �t S�� X,. �`�-6/� ,�oo� . �'a � .�� �yy i G i--� 1�d� � . �� ��� Z� � i[i'Z� f�(�`b � ���� �p-t� � ' I�� � l no o ��z�'° �'�f-. I�0� �`�`� S ob o . �i��- 1��'� ��r� �5zfo �k� t�d C� � �� �ez�.,p� ISf� _ _ - 1! �r'+�'_. - - �� �'66� . �y�b� �:�c`7S''��- `��� �C�ec� �'�� �o o � ��7� . �or��,c. �rs% _- ��G�� �_ o�p� � �� y 5� �.+�,,ps . t� ��� � (�»i 1� lY � ��fC�7 �r°`�� �S �S (�+n E� �' . _ ..��. a°�'`�s 1� (� �� , ��1� . = � a"rn�P� �"ot�._ . Z.`�G' :�°�S t�t zrsz� : � -�r' �t vs��h � � uh;� (��> -� S�C�o f�tC l� ���L- PO Box 1453 �Avon,CO 81620 j w.970.926.3358�e.dsshawelectric(�gmaif.com i FROM :SHAW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:40AM P4 HQLY CROSS EN�RGY RESIDENTIAL - LOAD fN�ORMATiQN AND METER LC7.CATION �ORM � � (continued) �r�the space pruvided below please sk�tch the stracture site in�luding roads, drivew�ys, sidewal&s, fences,transfnrmer location(overhead or undergr+ound)and proposed meter location(s)or provide site pian.�Otrtdo�r m�ters sha11 t�e instaf{ed in a locattoh t�►at is accessible at atl #imes. The meter shafi be locat�ti on che side wall des[gnated by Ho#y Crass Energy within the front ane-third of that wall and to the fror�t�a�any pr�pased fencing. � N . �u���� ,� � . � v r„� ; .��.-.--• . C� ����� �n ��� -�"r r n��i-r r�-�er�r.�- �{�� �� . � C..�a.mc��i�- i�.�+�.. Physicat address of proje�: o��'�� �-��?G�i� �� • ��'�'7 �r�i � FROM :SHAW ELECTRIC FAX N0. :9709263358 May. 24 2012 08:41AM P5 R�MARKS: � �S� h.2r.� �t E U I�i a� �(�.i."`Y�. �On� rn�-de�� � r�?. S i o � c� �.. ��. ����,�c� c9�/1 Field Comments: This form can be faxed to Holy Cross Energy at: �7Q�����r3��4 • � � , Qwner must tontact the Hoty C�oss B�tling d�partrnent s�parately to estabiish a bifling :atcount befare the connect request can be processed. After this fiorttt is accepted as comptete,a biiling attaunt establish�d, �d the service has been inspe�ted by the eir�ctriCal inspectar, the appropriaie Hoiy Cross �nergy of'fi�e must be eonta�ted #o request a c�nnect Avon - 94g-5892 Cienwood Sprrngs - 945-549i - I tertify that the above informatian is torr�ct and that 1 have read the attach�d "Conditians o Re�idential 5ervice" and unde tand therrr. � ,��f 1�,,..- - {Date af Ap licstion) (Applicant Signature} ' �Gl'�..._ �� ��'r°�'�G°t3n�-e'�'�'r'._ (Phone} (Title) 1/19/1�