HomeMy WebLinkAboutFile Documents.501 Dean St.0019-2022-BCOM (25) ' City of Aspen
4N of
iim LOAD FORM -- APPLICATION FOR ELECTRIC SERVICE
CITY U OiASPEN To be submitted by Electrical Designer or Electrical Contractor
Please complete the following items in this checklist:
❑ Completed all sections of this form.
❑ Attached copies of the electrical one-line drawing and power plan.
❑ Upload this application on the City of Aspen Salesforce Applicant Portal.
Name of Person Submitting Request: Date:
Company Name:
Phone Number: Email:
1 11 ' Information '1 . I I II . 'I I
Customer Name: Bill To:
Mailing Address: Mailing Address:
Phone#: Email: Phone#: Email:
City of Aspen Permit Number:
Electrical Contractor Information
Company Name: Contact Person:
Phone#: Fax#: Email:
Location Informations AMMEW
Service Address:501 East Dean Street, Aspen, CO 81611 Unit#:
If this is part of a multi-occupancy building,give the building's entire address range:
❑New Construction 0 Existing Structure❑Addition to Existing Structure ❑Demolition Within City Limits? ❑ Yes ❑No
Type of Building: ❑ Single Occupancy❑ Multi-Occupancy❑ Multi-Occupancy Core and Shell Only 0 Multi-Occupancy Residential
❑ New service ❑Upgrade Existing Service
❑ Increase Existing Service Entrance Size(with no service upgrade) ❑ Add New Meter to Existing Service(with no service upgrade)
❑ Remove Existing Meter(s),service to remain ❑Remove Existing Meter(s)and Service
❑Modification of Existing Tenant Space(s) 0 Other Lighting upgrade,no change to service size
Load In ormation
New Equipment Load New Equipment Load
HVAC Equip. (Tons) Tot.KW X-Ray Equipment KW
Refrigeration Equip.(Tons) Tot.KW Washer/Dryer(s) KW
Electric Heat KW Machinery #: HP: Tot.HP
Water Heating KW Exhaust Fans #: HP: Tot.HP
Lighting KW Pumps #: HP: Tot.HP
Outlets .54 KW Small Motors #: HP: Tot.HP
Office Equipment KW Compressors #: HP: Tot.HP
Kitchen Equipment KW Miscellaneous KW
Computers KW KW
Snow Melting Equipment KW KW
Thermoplastic Injection Equip. KW KW
Boiler KW Future Equipment KW
Elevators KW (Itemize on separate sheet)
Signs KW RECEIVED
TOTAL: KW
03/14/2022
APPLICATION FOR ELECTRIC SERVICE Pa ;EN
BUILDING DEPARTMENT
Existing Service Information Service Information New Service Information
❑N/A—No Existing Service at this location ❑ N/A—Existing Service, Service Entrance will remain unchanged
Service Type: Service Type:
Transformer Number: Service:
Transformer Size: Kva
Voltage: 2""80" Voltage:
Service terminates in:MOP Service terminates in:
Service Entrance Size:4000 Amps Service Entrance Size: Amps
Conductors/phase:13 Conductor Size:5°°KCMIL-AL Conductors/phase: Conductor Size:
Conduits: Number:13 Size:'"PVC Conduits: Number: Size:
Cables: Quantity: Solar: ❑ Yes 8 No Cables: Quantity: Solar: ❑ Yes No
Existin• Meter Information New Meter Information
N/A—No Existing Meters at this location N/A—Existing Meters,Service will remain unchanged
For multi-occupancy buildings,tenant meters will only be installed
For multi-occupancy buildings,list all meters connected to this for spaces being finished under this permit. Core and Shell only
service: -- projects will only receive a house meter on the C&S permit.
Max.Potential#of Meters at Build out: COM Res
Meter Number: Size: Meter Will: Size and Number of New Meters Being Requested
Amps ❑ Remain ❑ Be Removed Commercial Meters Residential Meters
Amps ❑ Remain ❑ Be Removed
Amps ❑ Remain ❑ Be Removed Ph W / V Ph W / V
Amps ❑ Remain ❑ Be Removed
Amps ❑ Remain ❑ Be Removed Number of Meters Needed: Number of Meters Needed:
Amps ❑ Remain ❑ Be Removed _ @ Amps @ Amps
Amps ❑ Remain ❑ Be Removed @ Amps @ Amps
Amps ❑ Remain ❑ Be Removed @ Amps @ Amps
Amps ❑ Remain ❑ Be Removed @ Amps @ Amps
Amps ❑ Remain ❑ Be Removed @ Amps @ Amps
STOMER SIG i1:7D14117_'Ii)i) Y[erMito :iv mure)
LOAD DATA MUST BE AS COMPLETE AS POSSIBLE. COST OF CHANGES DUE TO INADEQUATE/INACCURATE INFORMATION
WILL BE BORNE BY HE PROPERTY OWNER OR ELECTRICIAN.
LOAD DATA FORMS WITHOUT PLANS MAY BE DELAYED AND/OR NOT PROCESSED.
SITE GRADING,UTILITY,AND LANDSCAPING PLANS ARE REQUIRED WHEN PRIMARY ELECTRICAL EXTENSIONS ARE
NECESSARY.
NOTE:A METER WILL NOT BE INSTALLED UNTIL THE PERSON FINANCIALLY RESPONSIBLE FOR THE BILLING HAS
SET UP AN ACCOUNT WITH THE CITY OF ASPEN'S UTILITY BILLING DPEARTMENT,LOCATED AT 130 S.GALENA ST.,
ASPEN,CO 81611,PHONE#970.920.5030.
FORM WILL NOT BE PROCESSED WITHOUT SIGNATURE.
Signature of Authorized Party: Date:
Cit of As s en Us-
City of Aspen Electric Utility Approved by(print name):
Signature of City Approver: Date: RECEIVED
City of Aspen Electric Department- Phone: 970.920.5148 0 3/14/2 0 2 2
ASPEN
BUILDING DEPARTMENT