HomeMy WebLinkAboutE04-0073TOWN OF VAIL
75 S. FRONTAGE ROAD
VAIL, CO 81657
970-479-2138
NOTE
DEPARTMENT OF COMMUNITY DEVELOPMENT
THIS PERMIT MUST BE POSTED ON JOBSITE AT ALL TIMES
ELECTRICAL PERMIT
Job Address: 4054 BIGHORN RD VAIL
Location.....: R-O-W 4054 BIGHORN RD
Parcel No...: 210112219002
Project No
OWNER DAVID, TIMOTHY & BEVERLY A.
264 ADAMS ST
DENVER
CO 80206
License:
CONTRACTOR Avalanche Creek Ent. LLC
1600 Ute Suite 214
Grand Junction CO
81520
License: 345-E
APPLICANT Avalanche Creek Ent. LLC
1600 Ute Suite 214
Grand Junction CO
81520
License: 345-E
05/21/2004 Phone:
Permit #: E04-0073
0,4-
Status ...: ISSUED
Applied..: 05/21/2004
Issued . .: 06/08/2004
Expires . .: 12/05/2004
05/21/2004 Phone: 970 257-9600
05/21/2004 Phone: 970 257-9600
Desciption: R-O-W install power for qwest dsl pedestal
Valuation: $1,500.00
ZC W
********************************************************************* FEE SUMMARY ***********************************************************
Electrical --------- > $50.00 Total Calculated Fees--> $53.00
DRB Fee--------- > $0.00 Additional Fees ---------- >
$0.00
Investigation ---- > $0.00 Total Permit Fee--------> $53.00
Will Call --------- > $3.00 Payments ------------------ > $53.00
TOTAL FEES--> $53.00 BALANCE DUE--------> $0.00
Approvals:
Item: 06000 ELECTRICAL DEPARTMENT
05/24/2004 JRM Action: AP
Item: 05600 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.
TOWN OF VAIL, COLORADO Statement
Statement Number: R040005982 Amount: $53.00 06/08/200402:24 PM
Payment Method: Check Init: DDG
Notation: Avalanche
Creek 1032
Permit No: E04-0073 Type: ELECTRICAL PERMIT
Parcel No: 210112219002
Site Address: 4054 BIGHORN RD VAIL
Location: R-O-W 4054 BIGHORN RD
Total Fees: $53.00
This Payment: $53.00 Total ALL Pmts: $53.00
Balance: $0.00
ACCOUNT ITEM LIST:
Account Code Description Current Pmts
-------------------- ------------------------------ ------------
EP 00100003111100 TEMPORARY POWER PERMITS 50.00
WC 00100003112800 WILL CALL INSPECTION FEE 3.00
-----------------------------------------------------------------------------
APPLICATION WILL NOT BE ACCEPTED IF INCOMPLETE OR UNSIGNED
Project #:
Building Permit #:
V Electrical Permit #:
970-479-2149 (Inspections)
TOWN OFVAIL
75 S. Frontage Rd.
Vail, Colorado 81657
Electrical Contractor: Town of Vail Reg. No.:
Aye:ALit'a. _
E-Mail Address:
Contact and Phone #'s:
Contractor Signa re:
-::w -
COMPLETE SQ. FEET FOR NEW BUILDS and VALUATIONS FOR ALL OTHERS (Labor & Materials)
M) AMOUNT OF SQ FT IN STRUCTURE:
uo
ELECTRICAL VALUATION: $ 1 50c),
Contact Eagle County Assessors Office at 970-328-8640 or visit www. eagle-county con for Parcel #
Parcel # I p 1 Z21?j OO Z __ ??
Job Name: `105y 617ke", V-k Job Address: -f o5
Legal Description 11 Lot: II Block: II Filing: _Subdivision:
Owners Name: +a?L s t ?I Address: ?I Phone: `
Engineer: ac4 t ??r r ;nq br II Address: ?L? Phone: 70 -- ??? fi h"G? 0
Detailed description of work: ' t-
T?'SjQl J)C1?VZI' ft"- (!. S-f I- S -
pi?CS?vvt, \?1 ) VV
Work Class: New( ) Addition ( ) Remodel( ) Repair ( ) Temp Power ( ) Other
Work Type: Interior ( ) Exterior (V/) Both ( ) 1 Roes an EHU exist at this location: Yes( ) No
Type of Bldg.: Single-family ( ) Duplex ( ) Multi-family ( ) Commercial ( ) Restaurant ( ) Other
11 No. of Existing Dwelling Units in this building: II No. of Accommodation Units in this building: fl
Is this permit fora hot tub: Yes( ) No(
Does a Fire Alarm Exist: Yes( ) No
?I Does a Fire Sprinkler System Exist:
* ** x ? *******FOR OFFICE USE
Other Fees: Date Received: I
DRB Fees: Accepted Bv:
Planner Sign-off: 1
-- OA
\\Vail\data\cdev\FORMS\PERMITS\ELECPERM.DOC 07/26/2002
TOWN OF VAIL ELECTRICAL PERMIT APPLICATION
CONTRACTOR INFORMATION
Yes( ) No (p-?'