HomeMy WebLinkAboutpitkin.bldg.273501403006 (2015)(2)DOCUMENT
LAYOUT
Certificate of Occupancy or Letter of Completion
Permits
Final Inspections
Any Supporting Documents
Site Plans
(NOTE: All structural plans will be grayed out. If you require the ability to see structural
plans, you must have a letter from the owner stating you are allowed to have plans. This
letter must be submitted to Pitkin County Community Development Department)
PERMITS
PITKIN COUNTY BUILDING PERMIT APPLICATION
130 S GALENA ST ASPEN, CO 81611
OFFICE PHONE 970-920-5526 FAX: 970-920-5439CII Q 1 f a' J r C r
INSPECTION UNE: 970-920-5532 hma:/AvwYr.Ditkincountv.com U U� (/ VJ 'C1
—
Applicant to complete numbered spaces only. Permit Number (Office Use Only) IPermit
1. 1 E
out address rm I non
Maine dams PhO.e
u,
co
2. O R Molimen npne
"
- _
3
(
FD
3. C
/j17'1�7
ress �hOn�
R 3D-7
FS
T
a
4. AWHITECT OR ENGIN OFR CORD r Ma aed.ass mww
"
S CZ
MS
z
0
6. Parcel ID IF(call 920-5160) (j O
ZG
mm
Re
7. CLASS OF WORK
ENERGY CODEEE PLAN f NTNG DEPOSIT GIS FEE
3
NEW 0 ADDITION ALTERATION
US }Building
USF Face PERMIT FEE ZONINGFEE RDIMPARFEE
CI
("
Q
0,
Z8.
Residential Commercial 6cuhurel M Other
7
OTHER IMPAR Dead RestrkUon
L
9. Is LP Gas used? yes No
AN IMPAR FEE REMP FEE FEE Rq'di
Customers Existing Sq Total Sq Footage
10. valuation New Sq Footage Footage for THIS Isermk
Type of
C/�f
5 `� NE—Total
SF of Bldg Actual Valuation No. of Stories Construction
3
11. D riptlon of work (Include Main Bldg Permit IF this Is a change order)
& O
/
&5zo
II,,
NI
i
FVFQ F
No. of Bedrooms - No. of
Existing Added Dwelling Units Camus Wee
/�-�/
Occ Group OOO Wad Lot Size Use ZOM
(3
APPROVALS AUTHORIZED BY DATE
Zoning
'
Land Use
HPC.
EHMP
.�5�
Separate permits are required for Electrical, Plumbing, Heating, Ventilating or Air nein
Conditioning.
This permit becomes null and Vold if work or construction authorized is not n
within 12 months Or K COOitra[tlOn Or Work IS suspended Or ] d00 r NOd o Fi p etli Y/N Alarm Requlredi Y/N
180 days at any time after work Is commenced.
I hereby certify that I have read and examineti n a the s to Or sspe aver
a
true and correct. All provi ws and oo t e of Asp c0
Dinbe
.son
complied wish whet specified herein or s notpresu
ato give author to violate or cances any o r state or I
lawrWRtg or the peMorman h iz my responsibility toX NNWr
ap pI and any commencontained thereon and see Mat
te pro is builh in pall plicable codes.
•
NOTE my when illituted. Vi stn wish a/{ permn will he doi lewd,
X X
Con nor igvnat6re DanteSignature of Owner (if Owner Builder) Date
y
X ! L i5 X
Print Datj Print Date
For ONice Use Only
APPLICATION APPROVED FOR
511BMITTAI ACCfPTEDePNIEDZE.WC4"
Submittal Fees Recelpted:
ne
I
Pak Plan
CMd fee
hid Zoning Depmit
hid 615 Fee
Issuance Fees peceiPu`
C.°
I1/1111 SIC '�(
Pak hrmh lee
hid AM Impst fn
Paid Remainin Zonhg Fee
hid ROM 1mpM Feehk
Uu Toa
Pk Rise Fee
Pak other fee
... C—Z-P— L]
SSS_
tr