The URL can be used to link to this page

Home My WebLink AboutE16-0210 Application.pdf Department of Community Development 75 South Frontage Road West TOWNVail, CO 81657 OF VAIL } 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 p NOTE:For Multi-Family and Commercial buildings—plans and calculations must be prepared by a Colorado Licensed Electrical Engineer Project Street Address: Project#: d 7 f.�' /L/U (Number) (Street) (Suite#) Building Permit#: Building/Complex Name:ibflJ IMP/91,11,..41� / " ,la � Electrical Permit#: G�/U )0/ivProject Information: g Owner Name: Oita t0 VA/j. Lot#: Block# Subdivision: Parcel# )101 Off) Oa? (For (For Parcel#,contact Eagle County Assessors Office at(970)328-8640 or visit Define Scope and Location of Work: Ai.-ftilCa-- www.eaglecounty.us/patie) 4 "-Y ( Li &rip AT Q C-> Contractor Information Business Name:/, /pp/Ops GTR , fill', Business Address: j 95 )/ 2' s, 1 �1�� IV(e� 6,t®� sfin City UM State: CO Zip: PAY/. Contact Name: 1'/Aktio A l l Contact Phone: 10• Contact E-Mail: fJ//100 0[s��`Q ��? 1,1v (use additional sheet if necessary) I hereby acknowledge that I have read this application,filled out in full the Includes Temporary Service: (C)Yes ( 1) 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(r) Addition (1.) Remodel ((') Repair(0) codes, desig view approved,Intern onal Building and Residential Codes and ztinies, eTn applicable thereto. Other(() Type of Building: Single-Family(n Duplex.(n Owner/O er'spresentative Signature (Required) Applicant Information Multi-Family(n Commercial (:) Restaurant n `�,, Other(7) Applicant Name: Poo aft �r.tt Provide BOTH square footage of area of work Applicant Phone: /7P �9 �/ 3 AND Valuation (Labor&Materials) Applicant E-Mail: 1-.5091,1,, e /'1(- "14;/,P''1 Amount of SQ Ft.: Jay Additional Authorized ProjectDox Users 1[ ,0� Electrical$: 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 COLORADO DEPARTMENT OF TRANSPORTATION UTILITY PERMIT PERMITTEE DEPARTMENT USE ONLY Name: TOWN OF VAIL Date Issued 11/11/2015 Chad Salll Permit# 3150365-U Milepost Address: 1309 Elkhorn Dr S.H.# 070 A 176.40 Vail, CO 81657 Region 03 Section 02 Telephone: (970)479-2169 Patrol 19-2 Fred Etter • NOTICE TO PERMITTEE:For underground facility location information,contact the Utility Notification Center of Colorado(UNCC).Pursuant to 9-1.5-103 C.R.S.you shall not make or begin excavation without first notifying the UNCC and if necessary,then notifying the tier two members having underground ( facilities in the area of such excavation.Notification shall also be given to the CDOT regional permitting office,or as otherwise directed by this Permit's Special Provisions. Notice of the commencement,extent and duration of the excavation work shall be given at least two business days prior thereto,not including the day of actual notice. The UNCC may be called at 1-800-922-1987. CDOT shall be called at(970)683-6271. ACTIVITY DESCRIPTION(Furnished by Permittee) PURPOSE E Installation fl Adjustment Et Removal C]Maintenance of existing Facility FACILITY (Type,size,class of transmittant,design pressure or etc.) Backup generator in CDOT ROW DESCRIPTION OF WORK Replace existing backup generator for the Vail Village Transportation Center NATURE OF INSTALLATION ❑Longitudinal(Parallel) D Transverse(Crossing) Buried 17 Aerial/Ground-mounted :fAttach.To Hwy.Str.No. LOCATION:_070 Frontage at MM 176.4,475' east of Village Center Dr. County: Fag1e City/Town: Vail Project Info: n/a ADDITIONAL REMARKS Work to comence after the 2015-2016 ski season in the spring. Lane closures will be in place for equipment and construction activities. ' SPECIAL PROVISIONS(completed by the Department) The Special Provisions are terms and conditions of this permit. Any work shall only be in accordance with the approved plans and special provisions as set forth in this permit and its attachments. The CDOT inspector is Dave Kuhn 2M5 Telephone: (970)445-8132 Work is to be completed on or before: 11/11/2016 or within days,(as applicable) david.kuhn@state.co.us Work time restrictions: Daylight hours only. No weekends, holidays, or during special events Designated minimum cover is N/A Designated overhead clearance is.N/A (ALSO SEE ATTACHED STANDARD PROVISIONS,AND ADDITIONAL SPECIAL PROVISIONS), (TRAFFIC CONTROL MUST CONFORM TO THE MUTCD) Other: FIELD INSPECTOR SHALL BE NOTIFIED 48 HOURS PRIOR TO BEGINNING WORK OR PERMIT IS VOID UNLESS PRIOR APPROVAL IS OBTAINED, UNLESS AN EMERGENCY THEN AS SOON AS POSSIBLE. Permittee is prohibited from commencing any work within highway ROW prior to issuance of a fully endorsed and validated permit. Permit, plan exhibit,insurance certificate(s),and traffic control plan must be available on site during work. High visibility vests are required at all times during working hours. 1. Your request to use and/or occupy state highway system rights of way as described above is granted subject to the terms and conditions of this permit, including the Standard and Special Provisions as shown on the permit and all attachments hereto. 2. To the extent authorized by law,Permittee hereby assumes,releases and agrees to indemnify,defend,protect,and save the State of Colorado harmless from and against any loss and/or damages to the property of the State of Colorado,third parties or the Permittee's facilities,and all loss and/or damage on account of injury to or death of any person whomsoever,arising at any time,caused by or growing out of the occupation of Colorado State Highway rights of way by Permittee's facilities or any part thereof,including but not limited to installation,adjustment,relocation,maintenance or operation,or removal of existing facilities,unless such loss and/or damage arises from the sole negligence or willful conduct of the State of Colorado or its employees or agents. 3. Failure by the Permittee to comply with any of the included terms or conditions may subject this permit to suspension or cancellation,at the discretion of the Department of Transportation. 4. THIS PERMIT IS NOT VALID UNTIL FULLY ENDORSED BY ALL PARTIES, WITH DATE OF ISSUE AFFIXED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPARTMENT. A FULLY EXECUTED COPY OF THIS PERMIT MUST BE ON FILE AT THE TRANSPORTATION REGION OFFICE. 5. In accepting this permit the undersigned;representing the Permittee,verifies that he or she has the authority to sign for and bind the Permittee,and that he or she has read,understands and accepts all the included conditions. Attested Date 1 Signature Date Title Title Print Name: (Print Name: COLORADO DEPARTMENT OF TRANSPORTATION I By Date Chief Engineer 1 Regional Transportation Director or Designee Distribution: Region File(Original) Mtce Landscaping Supvr Permittee/Applicant Inspector Dave Kuhn 2M5 CDOTForm#0333 01/09 Mtce Patrol Supvr. 19-2 Fred Etter Previous versions are obsolete and should not be used.