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HomeMy WebLinkAboutE04-0194TOWN OF VAIL 75 S. FRONTAGE ROAD VAIL, CO 81657 970-479-2138 NOTE ELECTRICAL PERMIT Job Address: 1650 VAIL VALLEY DR VAIL Location.....: FALL RIDGE #204 Parcel No...: 210109102020 Project No OWNER HOLMBERG, HEDWIG 4604 MERILANE EDINA MN 55436-1336 License: CONTRACTOR DOUBLE Q ELECTRIC P.O. BOX 242 EDWARDS CO 81632 License: 190-E APPLICANT DOUBLE Q ELECTRIC P.O. BOX 242 EDWARDS CO 81632 License: 190-E M. & MARK F09/24/2004 Phone: Permit # Status ... . Applied .. Issued .. . Expires . .: E04-X?0194 Ii ISSUED 09/24/2004 09/28/2004 03/27/2005 09/24/2004 Phone: 970-748-9780 09/24/2004 Phone: 970-748-9780 Desciption: MOVE AND REPLACE DEVICES, FIXTURES AND HFL Valuation: $3,000.00 uo? 2. s? 3 2Z ********************************************************************* FEE SUMMARY ************************************************************ Electrical --------- > $54.00 Total Calculated Fees--> $57.00 DRB Fee--------- > $0.00 Additional Fees ---------- > $0.00 Investigation ---- > $0.00 Total Permit Fee--------> $57.00 Will Call --------- > $3.00 Payments ------------------ > $57.00 TOTAL FEES--> $57.00 BALANCE DUE--------> $0.00 ********************************************** ********************************************************** ***************************************** Approvals: Item: 06 000 ELECTRICAL DEPARTMENT 09 /24/2004 JS Action: AP Item: 05 600 FIRE DEPARTMENT ********************************************** ********************************************************** ***************************************** CONDITIONS OF APPROVAL Cond: 12 (BLDG.): FIELD INSPECTIONS ARE REQUIRED TO CHECK FOR CODE COMPLIANCE. ************************************************************************************************************************************************* DECLARATIONS I hereby acknowledge that I have read this application, filled out in full the information required, completed an accurate plot plan, and state that all the information as required is correct. 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 towns zoning and subdivision codes, design review approved, Uniform Building Code and other ordinances of the Town applicable thereto. REQUESTS FOR INSPECTION SHALL BE MADE TWENTY-FOUR HOURS IN ADVANCE BY TELEPHONE 479-2149 OR A II OFFICE FROM 8:00 AM - 4 PM. SIGNATURE 01? OWNER OR CONTRACTOR FOR HIMSELF AND OWNER DEPARTMENT OF COMMUNITY DEVELOPMENT THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES TOWN OF VAIL, COLORADO Statement Statement Number: R040006764 Amount: $57.00 09/28/200409:24 AM Payment Method: Check Init: DDG Notation: Double Q 12427 ----------------------------------------------------------------------------- Permit No: E04-0194 Type: ELECTRICAL PERMIT Parcel No: 210109102020 Site Address: 1650 VAIL VALLEY DR VAIL Location: FALL RIDGE #204 Total Fees: $57.00 This Payment: $57.00 Total ALL Pmts: $57.00 Balance: $0.00 ACCOUNT ITEM LIST: Account Code Description Current Pmts -------------------- ------------------------------ ------------ EP 00100003111100 TEMPORARY POWER PERMITS 54.00 WC 00100003112800 WILL CALL INSPECTION FEE 3.00 APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIGNED Project #: Building Permit #: 411, Electrical Permit #: -L;? Off- Or ` 970-479-2149 (Inspections) TOWNOFME TOWN 75 S. Frontage Rd. I Vail, Colorado 816 Electrical Contractor: Town of Vail Reg. No.: Contact and Phone #'s: 1',Qb1P Q ELCC.TInc, ?I E l9o Rrucg,. 41 S-513"1 E-Mail Address: Contractor Signature: COMPLr i t SQ. FEET FOR NEW BUILDS and VALUATIONS FOR ALL OTHERS (Labor & Materials) AMOUNT OF SQ FT IN STRUCTURE:, F LECTRICAL VALUATION: $ 3,0 <no °d Contact Eaq/e County Assessors Office _ at 970-328-8640 or visit www. ea4/e-county com for parcel # Parcel # Job Name: Joq Address: 14e) C?v1 .., dQt., _ . l 40 543 U 41 t, c/A l/ .?. t1.c, uf? Legal Description II Lot: II Block: l( -Filing: II Subdivision: v 6 C:7 H OrA2K e. j O? ?I Addrgs44) Y. ,.mil Il Phone: Engineer: Address:. 76:at/ MN 55v54 Phone: Detailed description of work: ok) Work Class: New( ) Addition( ) Remodel l?'4` Repair ( ) Temp Power ( ) Other ( ) ) th (?) Does an EHU exist at this location: Yes( ) No -? Work Type: Interior Ool? Exterior ( Bo Type of Bldg.: Single-family ( ) Duplex ( ) Multi-family} Commercial ( ) Restaurant ( ) Other ( ) No. of Existing Dwelling Units in this building: ?U Is this permit for a hot tub: Yes No Does a Fire Alarm Exist: Yes (?,4 No ( ) .**,***********************************FOR OFFICE USE ONLY****************** It No. of Accommodation Units in this building: a y ) Does a Fire Sprinkler System Exist: Yes( ) No( Other Fees: Date Received: I DRB Fees: Accepted By,.' I Planner Sian-off: 07/26/2002 \\Vail\data\cdev\FORMS\PERMITS\ELECPERM. DOC ????f