HomeMy WebLinkAboutpitkin.bldg.264327100002 (2016)DOCUMENT
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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)
CERTIFICATE OF
OCCUPANCY/
LETTER OF
COMPLETION
LETTER OF COMPLETION
Pitkin County Community Development Department
Use Classification
Building Permit:
Building Address:
Owner of Building
Owner Address:
Group:
Type of Construction:
Use Zone:
SFR
0048.2016. PRBK
1650 MCLAIN FLATS ROAD
ASPEN CO 81611
LEONARD WEINGLASS REVOCABLE TRUST
534 E COOPER AVENUE
ASPEN CO 81611
R:Zy
W2
Description:
Parcel ID 264327100002
Lot 22, Block 1, White Horse Springs.
Water damage repair includes roof, drywall, insulation, and electrical work.
Comments & Restrictions:
This certificate is issued pursuant to the requirements of the 2009 edition, section 110 of the International
Residential Code.
This certificate is accepted with the understanding that the inspection and inspection report do not in any way
constitute a guarantee, warranty of merchantability or fitness for a particular purpose, express or implied
warranty of habitability, or assurance in any way of the safety of the structure and its appurtenances.
Additionally, neither the inspection nor inspectionreport are substitutes for any real estate transfer disclosures
which may be required by law or a complete inspection by the owner or subsequent buyer or occupant. -
Pursuant to state law the owner is responsible for inspection and maintenance of the structure and systems.
Signature of Applicant--- ^r i Dated
i ildind Official Date
Note: In all occupancies, except R, this certificate must be posted In a conspicuous place near the main exit on the premises for which
it Is Issued. Any alteration or use of these described premises or portion thereof without the written approval of the Building Official shall negate
this lefter and subject It to revocation.
. r'l = I Ill's
PERMITS
I<. L, Cwla;ltai 4111
PITKIN COUNTY BUILDING PERMIT APPLICATION
130 5 GALENA ST ASPEN, CO 81611
OFFICE PHONE 970-920.5526 FAX: 970-92D-5439��
INSPECTION LINE: 970-920-5532 hHO.1/www.oltklncounty.mm QOy$,
Aoolicant to camolets, numbered searea nnlu- Permit Number (Office Use Only)
1. 108 ADDRESS (fill out address form if none) `'here"deco Peon
In
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2. OWNV wiwA m«. Phone
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3
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3. CONTRACTOR NenoaAddma Phone
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4. AHI CT OR ENGINEER OFRECORO hass"AdmW mare
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6. Parcel ID g(u11920.5260) Z443 iQ OOOL
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7. CLASS OF WORKpGY
E CHE NING DFPO$ GGFEEPen
NEW 0 ADDITION MALTERATION REPAIR
B. Use of Building
USETAX PE1 F.Er, ZONING FEE RO IMPACT FEE
0 1 ! 77
1
Residential Commerdai AgnO.k.ral Other
OTHER IMPACT Dad Reatr4tlw
9. NLP Gas usedT yes is No
AHIMPALTFEL REMP FEE FEE Rq'dF
Custamse, Exlitng SR Total Sq Footage
10. valuables, New Sq Footage Footage far THISpmmd
i
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FS, NI_A NIA
of
T.ISFof Bldg Ad--IVVa-l3uPthat No.of5lpedea Construction
11. Descriptio, of work (include Main Blitif Permit 4 N this IS a change order)
Lyiq
I 1 7000(/
N //
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T
No. of Bedrooms No. of
//
J
'/'a/
Existing Added Dweill'urdts camas Code
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Oct. Groan occlead lot Lee Use2mis
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APPROVALS AUTHORUL08Y DATE
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Ina use
H.P.C.
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Separate permits are required for Electrical, plumbing, Heating, Vamibtfngadmmina
_�`
Conditioning.
re eanhd
This permit becomes null and veld If work orconstruction authorized is not co
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within 12 months or if construction or work Is suspended or abandoned for a nsprinuH RpuvadlYM same PowntdP YIN
I
180 days at any time after work is commenced.
Ihereby certify that l have read ant examined this application a nd know the sv, clatter, mere (TAP Fee)
�.
true and correct. All provisions of laws and ordinances governing this type of sybe
complied with whether specified herein or not. The granting of a permit dopresume
to give authority to violate or cancel the provision, of any other statecons a. Ban. DHt.
low regulating construction or the performance of construction. It Is my responsibility to Lardseepsukha s
rr��
review the approved plans and any comments that are contained thereon and we that
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the structure end/or project is buillt in compliance with all applicable codes.
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NOTE; This fwmisapetmi whenvaBdaled. Work stirred vAtheuta permH willbedleuble feed. nPnmePeft.
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Contractor's Signature Date Signature of Owner(if Owner Builder) Date
1
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X F„R i.r '1'v e,C.,I n, e ---I f K (l. X
Print D e Print Date
For ORke use Only !�
IpnpN "PRO 0
ITTAL ACCEPTED P SCNCC I IW
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a.le .i7•I 0 1�-11 o.a oal.�.�.( .LI l u 77 cl* 3600
fildeAffiwooneofm
P.Id Planrheee Fie
P.to Za lry Depo•le
Pard on Fee
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6 Lk 3b6 3
Pad PentFee
Paid AH helped Fee
Fard Remain, lonint Fee
Paw Rwd loped Fee
P]Id Um TK Id MAPF«
PWother Fee
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ELECTRICAL PERMIT APPLICATION 3
PITKIN COUNTY COMMUNITY DEVELOPMENT
130 S Galena St Third Floor Aspen CO 81611
INSPECTION LINE 970205532 PH: 970-920-5526 FX: 970-920-5439
PERMIT NO. IOfBce Use Onivl
JOB ADDRESS
1650 McLain Flats Road, Aspen, CO
OWNER
PHONE
Weinglass Leonard Rev Trust
ELECTRICAL CONTRACTOR
MAILING ADDRESS
PHONE
Pine Mountain Electric, Inc.
P.O.Box 1, Carbondale, CO. 81623
970-945-1395
BUI ql
PE MIT #
OCCUPANCY GROUP
ELECTRICAL VALUATION
SQUARE FOOTAGE
I 2600.00
USE OF BUILDING
❑ COMMERCIAL
IB RESIDENTIAL
CLASS OF WORK
❑ ADDITION
❑ ALTERATION
❑ NEW
❑ CONSTRUCTION
❑ SOLAR
IN OTHER
1 SERVICE
I
DESCRIBE WORK IN DETAIL (For additions, alterations, Indicate type, number and location of source of circuits)
Remove track lights and ceiling fans. Remove storage room fluorescents upstairs.
Pull existing wiring back for ceiling repair work. Re -install wiring after ceiling repairs.
Re -install light fixtures after ceiling repairs.
All wiring and fixtures to remain as originally installed.
OWNER: The undersigned applicant to personalty perform electrical work on Bre described property or residence hereby certifies, as a condition of Issuance of such permit,
that the above described property or residenceis owned by the appll nt� that the applicant Is not enaaaed in the business of construction or re odelina4 and
such property is not intended for sale or resale nor is It rental Property foccunled or to be occupied by tenants whether transient r permanent), nor will It be
senerally open to the Public. it is understood that compliance with these assurances is a condition of the issuance of an electrical permit to the applicant pursuant to the
provisions of C.R.S. Section 12-23-111 (2) (as amended), and that failure to comply herein will be grounds for revocation of the electrical permit or any cenificate of
occupancy issued with respect to the property or residence described. DO NOT SIGN THIS SECTION IF YOU ARE A LICENSED CONTRACTOR.
Signature of Owner Date:
Nota: Engineer stamped electrical one -line plan required If service is over 400 amps. Low voltage drawings must be done by NICET engineer.
PAYMENT OF PITKIN COUNTY USE TAX
Use Tax
Permit Fee
Double
The General Contractor or Owner Builder is required to pay a Use Tax Deposit to Pitkin County
5
(.5%) on the building permit valuation at lime of issuance. All sub -permits pulled under a building
permit are by this deposit and should not Use Tax. Stand
14q.
paid payment pay alone sub -permits are
required to pay a Use Tax Deposit to Pitkin County (.5%) Deposit .5% of 50% of project
Approved by Fire Marshal 13
valuation.
Project Valuation (includes labor) $
Date:
Exempt: Exempt Organization
Approved by HPC ❑
Tax Exempt ID Number
Property liens may be placed on the owners and/or the contractor's property
Date:
when Use Tax Is not paid,
ELECTRICAL CONTRACTOR
Building Department Acceptance
For all work done under this permit, the permittee accepts full responsibility for compliance with the
Nabonal Electric Code and County resolutions, and/or state laws, whichever applies. Permit
subject to revocation or suspension for violation of any governing same. An accepted final
Approved By.
electrical inspection shall be obtained prior to using the electrical system. A final electrical
inspection shall be requested within 48 hours after completing an electrical installation.
qt i r' �• 9//3//6
Data.
Signature of Electr al Contractor Date
Permit Validation
Date
Receipt #
Total
�E�llgll�
VIII
Owl
$
Print Name
E-mail this fol Roost thls form
7,
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FINAL
INSPECTIONS
V
st.rpt Inspection Check List Page: 8
16 8:15:20AM PITKIN COUNTY Inspection Line:920-5532
Inspection Schedule for rayg
Scheduled for October 17, 2016
Permit No: 0048.2016. PRBK
Type: 133 FINAL BUILDING INSPECTION Time: 08:00
Notes: call
DESCRIPTION: #Stories: ar ge-Attac ed: etached: Carport: Bedrooms: Full
Bath: 3/4 Baths: 11 B hs: itchen: ACCESSORY UNIT: Living: Kitchen: Bath:
Bedroom: Other:
Fireplace -Maker: Gag Applia ce- aker: Gas Log:
Accepted as t,...
=/I%Iiia:=��1�/ ►is.;i.::!i��!!1
This inspection report is accepted with the understanding that the inspection does not in any way constitute a guarantee, warranty
of merchantability or fitness for a particular purpose, express or implied warranty of habitability, or assurance in any way of the
safety of the structure(s) and system(s) inspected, nor shall this inspection be construed to relieve or lessen the responsibility of
the person(s) responsible for performing the work. Additionally, neither this inspection nor this inspection report is a substitute for a
complete inspection by the owner or subsequent buyer or occupant. Pursuant to state law the owner is responsible for inspection
and maintenance of the structure and systems.
Date/a-/7-/6 Signature of Applicant Print Name J(5ria.� rrr.SS
Date d -/ Signature of Inspector Print Name
Address Contact N e: brian Cont t # (970) 309-4545
1650 MCLAIN FLATS RD
Contractor: REGAN CONSTRUCTION INC Owner: WEINGLASS LEONARD & Page: 8 Lk
7/2016 8:15:20AM
Inspection Check List
PITKIN COUNTY
Inspection Schedule for rayg
Scheduled for October 17, 2016
Permit No: 0312.2016. PELE
Type: 226
Notes:
Inspection Ri
FINAL ELECTRICAL
1 - Accepted 2 - Accepted as Noted _ 3 - Rejected
Reinspection Fee $
Comments:
Inspection Line:920-5532
Time: 08:00
4 - Partial/Not Complete
Page: 23
This inspection report is accepted with the understanding that the inspection does not in any way constitute a guarantee, warranty
of merchantability or fitness for a particular purpose, express or implied warranty of habitability, or assurance in any way of the
safety of the structure(s) and system(s) inspected, nor shall this inspection be construed to relieve or lessen the responsibility of
the person(s) responsible for performing the work. Additionally, neither this inspection nor this inspection report is a substitute for a
complete inspection by the owner or subsequent buyer or occupant. Pursuant to state law the owner is responsible for inspection
and maintenance of the structure and systems.
Date -/7-14 Signature of Applicant Print Name ri-wK Sia . tSc
Date/0•1%'/Signature of Inspector Print Name
Address Conta me: rob Conta t # (970) 618-6375
1650 MCLAIN FLATS RD
Contractor: PINE MOUNTAIN ELECTRIC INC Owner: WEINGLASS LEONARD & Page: 23
InspCList.rpt
10/12/2016 7:41:13AM
Permit No: 0048.2016.PRBK
Inspection Check List
PITKIN COUNTY
Inspection Line:920-5532
Inspection Schedule for susanpe
Scheduled for October 12, 2016
Type: 502 PLANNING ENGINEER INSPECTION
Notes: call to set time
Time: 08 00
Inspection Results:
1 -Accepted >( 2 - Accepted as Noted 3 - Rejected 4 - Partial/Not Complete
Reinspection Fee $
Comments:
in /,q
Paqe: 27
The applicant acknowledges that he/she has been informed by Pitkin County of environmental hazard areas that might affect the
property any improvements and the use and occupancy thereof. The provisions of the Pitkin County regulations do not in any way
assure or imply that the property will be free from hazards or that approved mitigation will guarantee the safety of anyone using the
property.
This inspection report is accepted with the understanding that the inspection does not, in any way, constitute a guarantee, warranty
of merchantability or fitness for a particular purpose, express or implied warranty of habitability, or assurance in any way of the
safety of the structures and appurtenances inspected, nor shall this inspection be construed to relieve or lessen the responsibility
of the person(s) responsible for performing the work. Additionally, neither this inspection nor this inspection report is a substitute
for a complete inspection by the owner or subsequent buyer or occupant. Pursuant to state law the owner is responsible for
inspection and maintenance of the structure and systems.
Date Signature of Applicant Print Name �y
Date fv Signature of Inspector Print Name
Address Contact Name: brian Contact # (970) 309-4545
1650 MCLAIN FLATS RD
Contractor: REGAN CONSTRUCTION INC Owner: WEINGLASS LEONARD & Page: 27 b
APPLICATON
MATERIAL
(�t
l'KIN
y l of IT N7'4
C: -. -> —
COMMUNITY DEVELOPMt Nr
Pitkin County Community Development
130 S Galena St, Aspen, CD 81611
Phone (970) 920.5526 Fax (970) 920.5439
C�
General/Building Permit
Contact Sheet
Permit Information
Job Address � �
Perm it -ype
Contact Information
Name
Phone
Alternate Phone
Mailing Address:
6czi twt % R�.
City
/is
St .e
Z�
Zip Code
8/C!/
E -mail Address
Owners
Name �Q�l,
au RW*IS.t.
Phone
6/£s
Alternate Phone
Mailing Address: d_
c a r
City
Stayye
Zip Code
E-mailA dress
Name / 1
Phone
IF7 5OGsd
Alternate Phone
Mailing Addre :
1 Zt 0 Lrsv ' !
City A"
State
ZippCotle
F -nail Address D FTI IT'
L GC e .y
Ari or 0c5Encr of Record
Name
Phone
Alternate Phone
Mailing Address:
City
State
Zip Code
E-mail Address
Landscape Architect Record
of
Name
Phone Alternate Phone
Mailing Address:
City State
Zip Code
E-mail Address
Name
V
Phone Alternate Phone
is 10V 3l
Mainng Address:
I tf SS�6�
City Sta
61 W$ ryu
Zip Code
giol
E-mail Address
Name
Phone Alternate Phone
Mailing Address:
City State
Zip Code
E-mail Address
Please provide any additional information that may help us contact you for any questions regarding your building permit application.
Pitkin Count
AUG 17 2016
Community Development
3
8.3.16
1650 Mclain Flats Rd.
Owner Contact information:
Owner:
Lenny Weinglass
1650 McClain Flats Rd.
Owners Representative and Property Manager:
Casey Braaksma
1650 McClain Flats Rd.
(c)970-618-4799
Email: caseybraaksma@gmail.com
0048201 gpla��
GOVAN
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Go�moo�H
*
INSULATION CARD - DO NOT REMOVE
M • BASF
The Chemical Company LOT A # 0015866217 LOT B # HS2EL74 ICC -ESR - 2642
WINTER BLEND
This form must be filled out and posted to comply with building code and FTC requirements. Meets IRC Section N1101.4
requirements. Please post near electrical panel.
PLEASE ATTACH PRODUCT TECHNICAL DATA SHEET BEFORE POSTING
The following spray polyurethane foam insulation system(s) has been installed. Consult International Building Code, Section 2603 Foam
Plastic Insulation, International Residential Code (IRC) R314 Foam Plastics, or International Energy Conservation Code (IECC) Section
102 for specific requirements.
This spray polyurethane foam insulation system has been installed in accordance with manufacturers processing
guidelines to Drovide a thermal resistance of...
Area Insulated
R -Value
Thickness*
Attic Area UPPER STORAGE EXTERIOR CEILING
R-
@
inches
Sloped Ceilings 13" Rafters exterior ceiling
R- 51
@
7.5 inches
Walls (Where:
R
@
inches
Walls Where:
R-
@
inches
Floors
R-
@
inches
Crawl Space Perimeter
R-
@
inches
Basement Exterior Walls
R-
@
inches
Other Where:
R-
@
inches
-nommai micsnesses are mpmsemauve or a new, spray-appnea roam mamnai.
BASF Polyurethane Foam Enterprises Product(s) Installed:
(Please Print Clearly)
❑ COMFORT FOAM® Permeance: perms at "thickness Density: Nominal 2#
Walls:
❑ SPRAYTITEe
Flame Spread Railing (ASTM E-84): ❑Class 1 (25 or less) ❑ Class 2 (75 or less) tested at 4 " thickness**
❑ COMFORT FOAM®
Other: Permeance: perms at "thickness Density: Nominal 2#
❑ SPRAYTITE®
Flame Spread Rating (ASTM E-84): ClassIX-11 (25 or less) ❑ Class 2 (75 or less) tested at 4 "thickness**
❑ COMFORT FOAM®
Basement Exterior: Permeance: perms thickness Density: Nominal 2#
❑ SPRAYTITEe
Flame Spread Rating (ASTM E-84): Not Applicable
Jobsite Location: 1650 McClain Flats Road Aspen CO. Date Installed: SEPTEMBER, 2016
Building Contractor: Regan Consrtction
Insulation Contractor: INSULVAIL LLC Phone: 970 524 3000
Installed By:
i
Caudon— No Hot Work -Polyurethane foam is combustible and should be treated as such. No welding or
cutting unless foam has been protected from accidental ignition by open flame.
INSULATION CARD - DO NOT REMOVE
"Per the IRC foam plastic insulation greater than 4 inches thickness shall have a maximum flame spread index of 25 and a smoke -
developed index of 450 where tested at a minimum thickness of 4 inches, provided the end use is approved in accordance with
Section 2603.9 Special Approval using the thickness and density intended for use.
Agency:
Test Report #: 3116019-001 (a, b, c)
3116019-002 (a, b, c)
Testing and Compliance Criteria:
Applicable requirements of NFPA 286 and IBC Section 803.2
Evaluation Property:
Heat Release and Flame Spread
Product Tested: SPRAYTITE® and COMFORT FOAM®
Constructions: Exterior Walls Ceiling Assembly
(covered in 1/Y" gypsum to interior) 8" Spray Foam 12" Spray Foam
Test Report Conclusion:
The sample submitted, installed, and tested as described in this report displayed low levels of heat release, and low upper le
temperatures. The heat flux on the floor did not reach flashover levels. The sample did not spread flames to the ceiling during the
kW exposure. The flames did not spread to the extremities of the 12 -foot walls, or the rear 8 -foot wall during the test. The sample
not exhibit flashover conditions during the test. NFPA 286 does not publish pass/fail criteria. One must consult the codes to determ
pass/fail. This specimen did meet the criteria set forth in the 2003/2006 IBC Section 803.2.
Caution— No Hot Work - Polyurethane foam is combustible and should be treated as such.
No welding or cutting unless foam has been protected from accidental ignition by open flame.
What You Should Know About R -values
These chart shows the R -value of this insulation. R means resistance to heat flow. The higher the R -value, the greater the insulating power. Compare insulation Rvalues,
beforeyou buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation
will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too
much insulation, it will cost you more than what you'll save on fuel. To get the marked R -value. It is essential that this insulation be installed propedy.
BASF Potyraethane Foam Enterprises LLC
13630 Watertower Circle
Minneapolis, MN 55441
Telephone: (763) 559-3266
Fax: (763) 559-0945
www.basf-pfe.corn
ISO 9001:2000 Accredited Facilities—Minneapolis, MN and Houston, TX
Helping Make
Buildings Better TM
May 2008
OTHER
INSPECTIONS
InspCList.rpt
y-_P"x312016 8:26:46AM
Permit No: 0048.2016.PRBK
Type: 128
Notes: call
Inspection Check List
PITKIN COUNTY
Inspection Line:920-5532
Inspection Schedule for rayg
Scheduled for September 15, 2016
INSPECT ROUGH FRAMING
Time: 08:00
ispection Results:
1 -Accepted 2 - Accept d as Noted 3 -Rejected 4 - Partial/Not Complete
Reinspection Fee $
Comments:
Page:4
Date Signature of Applicant ` / Print Name i
Date�Signature of Inspector b Print Name �A/ O
Address Contact N e: brian Conta # (970) 309-4545
1650 MCLAIN FLATS RD
Contractor: REGAN CONSTRUCTION INC Owner: WEINGLASS LEONARD & Page: 4 it
InspCList.rpt
9/1402016 8:20:40AM
Inspection Check List
PITKIN COUNTY
Inspection Line:920-5532
Inspection Schedule for rayg
Scheduled for September 19, 2016
Permit No: 0048.2016.PRBK
Type: 128 INSPECT ROUGH FRAMING
Notes: check elect permit on site
1 -Accepted 2 - Accepted as Noted _L.=2 3 - Rejected
Reinspection Fee $^
Comments: 11W P/1,1 /` /I l00_/1,
Time: 08:00
4 - Partial/Not Complete
Page: 9
Date 9?W /6 Signature of Applicant Print Name qL�
Datd,o & Signature of Inspector Print NamehfZ
Address Contact Ne: brian Co tact # (970) 309-4545
1650 MCLAIN FLATS RD
Contractor: REGAN CONSTRUCTION INC Owner: WEINGLASS LEONARD & Page: 9
InspCList.rpt Inspection Check List Page: 1
9/19/2016 8:39:44AM PITKIN COUNTY Inspection Line:920-5532
Inspection Schedule for rayg
Scheduled for September 19, 2016
Permit No: 0312.2016.PELE
Type: 222 INSPECT ROUGH ELECTRICAL Time: 08:00
Notes:
Inspection Results:
1 -Accepted 2 - Accepted as Noted 3 - Rejected 4 - Partial/Not Complete
Date Signature of Applicant Lko Print Name C.S.
Date!? Signature of Inspector Print Name
Address Contact Nam brian Cont ct
# (970) 309-4545
1650 MCLAIN FLATS RD
Contractor: PINE MOUNTAIN ELECTRIC INC Owner: WEINGLASS LEONARD & Page: 1 �j
9/23/2016 8:03:51AM
Inspection Check List
PITKIN COUNTY
Inspection Line:920-5532
Inspection Schedule for rayg
Scheduled for September 23, 2016
Permit No: 0048.2016.PRBK
Type: 523
INSPECT INSULATION
Time: 08:00
Page: 6
Notes: call with e.t.a. check missing lag bolt in center beam upstairs storage rm.. //// also fan boxs to be
installed to replace standard box s not approved for fans
Inspection Results:
1 - Accepted 2 - Accepted as Noted 3 - Rejected
Reinspection Fee $
Comments: i
Date 11- 43 /� Signature of
DateyO Mt. Signature of
Address
1650 MCLAIN FLATS RD
Ulm
4 - Partial/Not Complete
afmI
Name W • ((-�
fr
Name 56G -rt
Contact # (970) 309-4545
Contractor: REGAN CONSTRUCTION INC Owner: WEINGLASS LEONARD & Page: 61L�
PLANS
.,•,.,.,.,-, .r.. ,..riµ•�i-�..,gs,w.rrysa".�:,.. ., .
PITKIN COUNTY BUILDING PERMIT APPLICATION
130 5 GALENA ST ASPEN, CO 8167.1
OFFICE PHONE 970-92n-5526 FAX: 970-920-5439n/��
INSPECTION CINE 970-920.5532 httDam G'lwww Ditkincounty.co
Applicant to complete numbered snares only. Permit Number (Office Use Only)
1 JOB ADDRESS (fill out addressform if none) an,+hraAaam,
SQ JEZtA�.
1l y when validated. Work uareed without a permit will be daubfe rev'd.
roan,
�E
FD
2. UwNrF,ji tin.awaea,.,. Phony
/ LC, %duce tssI
3. CONTRACTOR Malru,aAdd—,
wa. • twat S /� . 6 o
11—
92 dale
FN
F5
4, ARCHI CTOR ENGINEER OF RECORD M,dingAddrru
H . Zry 'd", 1 Cas WS r 66f
Fri
3/aa
MH
!Ills
6. Parcel ID til (call 920-51601 a, L3 Z2 10 O00
N 16-1.0irance
bclr0 - the I floor In ASPM Cay HailVIA
ZG
7. CLASS OF WORK
NEW AODITION ALTERATION REPAIR
RGY C E
CHE ZONING Of POS
GIS FEE
+-7 r J 105,Y9
Contractor's Signature
8, Use of Building
21 Residential Commercial r7 Agricultural Other
USETAX PERMIT FEE ZONING FEE
RD IMPACT FEE
�0-)tf, JJ
9. Is LP Gas used? yes %C Na
AH IMPACT FEE
OTHER IMPACT
RE MP FEE FEE
Deed Restri
Rq'd7
Customer's Existing Sq Total Sq Footage
10• Valuation New Sq Footage Footage for THIS permit
1 }o a 1
_ r 8/ r
x
Total SF of 87dg Actual Valuatfon No-. of stories
Type a
Construction
11. Description of work finclude Main Bldg
•-Perm it q If this Is a change drderl
7
Olt?
7 0
v
No. of fledraoms
E,risling
No. of
Added Dwelling Units
Census Code
/�
r1 f•Y
Jj<k1R- a 6e -I
1
3
'
Occ Group
Oct Load Lot size
Use Zone
AIJIMITTAL
ACCEPTED
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APPROVAIS
AUTHORIZED BY
DATE
Zoning
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Submittal Fees Recelpted: +q
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Separate permits are required for Electrical, Plumbing, Heating, Ventilating or Air
Conditioning.
This permit becomes null and void If work or construction authorized is not commenced
within 12 months or if construction or work Is suspended or abandoned for a period of
IBD days at any time after worst Is commenced.
I hereby certify that I have read and examined this application and know the same to be
true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not
presume to give authority CO violate or cancel the provisions of any other state or local
law regulating coils Lructiun or the performance of construction. It is my responsibility to
review the approved pians and any comments that are contained thereon and see that
the structure and/or project is builit in compliance with all applicable codes.
Engineering pI
Fire Marshal
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Fire Sprinkler Requuedl YIN Alarm Requleed? YIN
Cityaf Aspen water (TAP t=ee)
ay o{Aspen Oeveluixneu Roorw Fee- ❑
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'It Water S9rVlca Arra Is COY at A,Pen water pmol of paymenr for City at Awn
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NOTE: This form Is a Perm
1l y when validated. Work uareed without a permit will be daubfe rev'd.
Derefapfnent Review Fee is required a1 Permit Application 5ubmiaai IIwill
be
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Date
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For Office USC only
J1PPUCATION
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Paid Aa Impact Fee
Paid Remaining Zoning Fee
Paid Rad Impact Fee
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Paid other Fee
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Small Scale -- &U 4-`- p
Construction Management Plan for:
Address16 FIA Al s� /V,1��
Parcel ID Number Z a 113 71714 41 0,57
Permits Applied for:
check all that apply.
Demolition Pennit
>e Building Permit
Access Pemnit
Earthmoving Permit
Floodplain Permit
ROW Permit
Property Owner's Name
�j o� r..fi. l.�ec�►� lvsS
Name
Owner's Representative's Name:
Name,
Contractor's Name:
Name
Phone Number
Phone Number Email
12.5 OW11 D d u e —t -
Phone Number Email
Grp -r.4
Pitkin County
AUG 17 2016
Community Development
1.8.10
It
r
APPENDIX E
DESCRITION OF WORK
PUBLIC NOTIF'ICA'TION PLAN
DATES OF CONSTRUCTION NO WORK:
Before 7 a,m_nr-.,Aftar7�—
And on Holidays or Sundays
HOURS OF CONSTRUCTION
l .
HOW WILL EXCAVATED SOIL BE USED?
F%1 F.MG):1u►IMM
Site Plan(s) Showing: CONSTRUCTION
1. Construction Fencing ALL PARKING, STAGING &
2. Emergency Vehicle Access STORAGE MUST BE MAINTAINED
3. Construction Parking ON SITE
4. Staging Areas
.5. Trailers, material storage, waste management, etc.
1.810
C()Unty
immunity fle�ela�p�'en�
AFFIDAVIT FOR COST OF CONSTRUCTION
To the Chief Building Official,
The total estimated cost of the construction, including all related construction costs* of the building
located atIG t -V M I _ F1,45 P� and constructed, reconstructed, altered, repaired or
extended under building permit no. amounts to $ _ 1' $ qI y .00
I, � e.� +r� , being the person referred to as the owner, or designated owner's
representative, identified below, do solemnly swear that the statements made herein are strictly true,
correct and made in good faith.
*Related construction costs include all work done with or concurrently with the work contemplated by
the Building Permit including construction, reconstruction, repairs, demolition, heating, air conditioning,
mist. site improvements, etc. Furnishings and portable equipment are not part of the total construction
costs.
Proposed Cost Estimate:
Accepted Cost Estimate: • "
Signature and address of owner or Owner's Representative
Final Project Cost:
Additional Fee Required:
To AMEND FEE UNDER PERMIT#:
Signature and address of Owner or Owner's Representative
Pitkin county
AUG 1I Z.$
Gommun- Development
8.3.16
1650 Mclain Flats Rd.
Owner Contact information:
Owner:
Lenny Weinglass
1650 McClain Flats Rd.
Owners Representative and Property Manager:
Casey Braaksma
1650 McClain Flats Rd.
jcj 970-618-4795
Email: caseybraaksma@gmail.com
4048201 6pJz:P-
Pitkin County Community Development
Building Permit Application Submittal Requirements
For Residential or Commercial Development
(NOTE: one copy is required unless otherwise specified.)
" ] Completed Permit Application form "'-�Schedule of Values
`Contact Sheet Affidavit for Cost of Construction A�
'--��Environmental Health Department Checklist
W-rs w
[ ] ater ervice Area is City of Aspen Water, proof' of payment for City of Aspen Development Review Fee is
requi t Permit Application Submittal. Invoice will be provided at City Utility Billing window and
payments are be made to City Finance window, both located on the first floor in Aspen City Hall.
[ o copies of the pertinent land use approval(s). This may include a recorded site plan, any BOCC resolutions,
He fficer or Administrative Determinations, or Exemptions. Address all items identified in the land use
approval as be uired prior to submittal or issuance of building or development permit.
urvey - (24" x 36" maximum size; preferred scale is I" = 24')
By a -ado certified surveyor, with original stamp and signature. Survey must be no more than one year old,
include topogr at two foot contours,, and show all existing improvements, all easements, rights-of-way, and any
waterways.
-----�,�chitectural.Site Plan - (24" x 36" maximum size; preferred scale is I" = 20)
Show existing topography, all proposed re -grading, all structures (existing and proposed), driveway alignment,
adjacent roadways, roof plan of the proposed structure over the topography. Indicate the topographic elevation of the
site (above sea level). C ALD 0%k7t,-)
[ ] Building Plans (24" x 36" maximum size; preferred scale is ==/a"= i'; minimum accepted scale is 3/16" = 1') Plans
should be of sufficient detail to allow review and construction without any further information. Include the following:
( ] Architectural drawings: Existing and proposed floor plans with all room uses identified (specify any changes
in use), Exterior building elevations, Building sections, Material specifications, Design load assumptions,
Wall sections, Window and door schedules, Roof plan, and Roof ventilation plan
[ ] For interior remodels: Don't forget to provide exterior building elevations if adding or removing existing
indows and/or doors.
ctural drawin : Foundation plan, framing layout, structural details - stamped and signe .
ec equipment 1 cations. Plans if located in crawl spacer attic. .
---_Soils Report ('Ivo copies) - If required by your engineer or land use approval.
Proof of adequate and legal water supply: i.e. Well Pernnit, Letter of Intent to Serve. If City of Aspen Water, water
fees must be paid prior to permit submittal.
[ ] Energy Code compliance documents (Two copies)4-4-Manual 7 or other equipment sizing program
. tient Building Program checklist (Two copies) per adopted code. (For residential construction only)
[__Engineered Drainage and Erosion Control / Storm Water Management Plan (Two copies) - See Handout
-- — Construction Management Plan (Two copies) See Construction Management Plan Manual for su i
requirements. G -.—
Floor Area Summary- Sh8w calculations *-�1 Asbestos report, if applicable ofow
^
(over) u6 C�-v-J p►�k►r
De�eloPment .
Cemmunt�
1 } -Signed Special Inspection Form, if applicable --+-]-Fireplace Registration Form (Two copies)
—�gterior Lighting Plan (24" x 36") - Show proposed locations of all exterior fixtures. Include cut -sheets for all
fixtures. See Section 7-20-140 of Land Use Code for allowances and limitations.
_Access Permit Application Foran - See separate Access Handout for submittal requirements.
-[--]-Landscaping Plait if required in Conditions.
[ ] ' PiWn..Qounty Address Assignment Form is required for all sites without an existing address. Go to
http://pitidntountv.com/268/Address-Services to request an address from Communications.
[ ] FDuplex and Multi -Fancily projects, is this a CCIDA (Colorado Common Interest Ownership Act) project? If yes,
provi upporting statemerit�]$S 38-33.3
[
For multiple occ cy buildings, provide an elevation or section showing the relationship of the unit being
remodeled to the rem ' deLb
[ ] For multiple occupancy bure being adde deleted, provide structural plans or two copies of a letter
from the architect or enginstamp and signature required by Colorado Revised Statutes 12-4-132.
Elevator or dumbwaiters reermit, fees, and inspections from NWCCOG. See the elevator checklist.
Demolition Permit Application
Submittal Requirements
"Demolitao" eans to tear down completely, to do away with, or to raze. Any partial removal of a structure may be
determined by the unity Development Director or Chief Building Official to effectively be a complete razing of a
structure, even while soortion or portions of it remain in place. Renovation of a structure shall not be considered
"demolition".
[ ] Completed Permit Application Foran. [ ] Environmental Health Checklist
[ ] Asbestos test report [ ] tient Building Program Deconstruction Plan
[ ] Drainage and Erosion Control Plan (Two copies) - See
[ ] Construction Management Plan (Two copies)- See Construction Man'aKment Plan Manual for submittal requirements.
[ ] Floor Area of the structure to be demolished:
[ ] Approximate year of construction of structure to be demolished
[ ] Photographs of the structure to be demolished.
These lists contain the general information required for any building or demolition permit application. More inlllrination may be
requested as each project is indiv{dually evaluated.
Property Owner: CLJ�
Parcel Mg: 1 d d O
Job Address: I(0 45-0
January 26, 2016
I \ComdevlWebsite - FormsTermits & Checklistslariginals To EditlBldg Cklist 1.Doc
' -Y""IN
r OU Wr-
17.11Y 1 0
CommUNIT► DEVEtoPMENI
Pitkin County Community Development
130 S Galena St, Aspen, CO 87811
Phone (970) 920-5526 Fax (970j 920.5439
Op
General/Building Permit
Contact Sheet
Permit information
Jab Address 6 5-0 t. /?J,
Permit Type
Contact
Information
No
Name 1 .g
y"L WE
Phone
Alternate Phone
Mailing Address:
City
S! -e
Zip Code
E-mail Address
■
NamePhone
cis
ds.G '" '
d IFS
Alternate Phone
Mailing Add ress:A� * n
f I�
city
Sit
L�
Code
�r fir!
E-mailR dress p`
45 -I 6 �5�..t M• * GHQ
Generi3l Con tractor
Name
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Phone
&C# 6
Alternate Phone
Mailing Aode
l � .!
L
City
Stat
Zi
E-mail Address
a ��a ee. � .� � cat�st'• c�—
Architect or Dc�.igrier of Record
Name
Phone
Alternate Phone
Mailing Address:
City
State
Zip Code
E-mail Address
Lamd�,cape Architect of R(�cord
Name
Phone
Alternate Phone
Mailing Address:
City
State
Zip Code
E -mall Address
EnEmeer of Record
Name
U 't 1
Phone
9/00
AEternate Phone
Ntailk Address: 9 rk 6
a
City ' } C
�►l W 3
Stn
ZipCode
ll
F -mail Address
Name
Phone
Alternate Phone
Mal ling Address;
City
state
Zip Code
E-mail Address
Please provide any additional Information that may help us contact you for any quest -sons regarding your building permit application,
Pitkin Cvun!
AUG 17 2416
Community Development
Pitkin -County
CI
l'in7 i roll illen lal Ileal ll]
ONSITE WASTEWATER TREATMENT SYSTEM OWTS
FAST TRACK AGREEMENT
Owner: "PQ-414—
Address: I J G a—,, �
Parcel Number:��t�-��
Building Permit #
I acknowledge that an Environmental Health Permit is required
for this project, check the appropriate box:
OWTS CONSTRUCTION PERMIT
This project will require a new septic system or parts of the
existing system will be moved or replaced.
OWTS USE PERMIT
This project will utilize the existing OWTS, the existing OWTS
is 5 or more years ofd and the project will be more than
30,000 valuation added to the home.
"NO PERMIT NEEDED" FORM, SIGNED BY EH DEPT
This project does not require a permit from the Environmental
Health Department
Please Call 970-920-5070 to make an appointment to submit your
application to the Environmental Health Department at,uritY
pitkin co
76 Service Center Road N1511 Jn1b
Aspen, CO 81511
�mmuri, peveloPment
SIGNED: DATE:
For staff. • 3 copies total: Original to file, 9 copy to applicant, 9 copy to EHINR
76 Service Center Road Aspen, Colorado 81611 Phone: (970) 920-5070
Fax: (970) 920.5374 www.aspenpitkin.com/ehnr Page 1
q --�'�--SE CON
w�'T
ENVIRONMENTAL CONSULTANTS
Asbestos Building Materials
Inspection Services
Client: Regan Construction, 601 Rio Grande Place, Aspen, CO 81611
Project Site: 1650 McLain Flats Road, Aspen, Colorado 81611
Inspection Date: July 15, 2016
Phase Con Project *: 16-07-15D1
NJ
yt �n cok
au
U�iry pevel�Pm���
�mm
2166 Peregrine Court:
Grand junction. GO 81,507
Office: 570-260-3341 pcecorisuitarits@qwestoffice.net
ti
1§50 Mclain Flats Road A en of ra
Sag!pling Description
Phase Con provided construction specific asbestos building inspection
services at the above described site on July 15, 2016. The inspection
was performed by Mr. Douglas Close, a Colorado State and EPA Asbestos
Building Inspector/Management Planner. The scope of work was limited
to the planned work area as described by the client's representative to
Phase Con. 'The scope of this inspection was also limited to sampling
and analysis of materials which were suspect for asbestos content,
readily accessible, and present in or on the building only. Suspect
materials within the scope of work were sampled and analyzed as per
Colorado State Regulation #8.
Discussion & Recommendations
No asbestos was detected in any of the building materials tested
in the planned renovation work area.
If any previously unknown or undiscovered materials are found during
demolition activities which are suspect for asbestos content then these
materials should be tested for potential asbestos content prior to
continuing any further demolition work.
Disclaimer
This inspection was performed using non-invasive sampling techniques.
This report does not imply, or guarantee that every material on the
property, or in the property building, which may potentially have
asbestos as a component has been identified and/or sampled. A
guarantee that all asbestos materials have been identified and/or
sampled would require cost -prohibitive and destructive sampling
protocols. f=urthermore, identified asbestos containing materials may
be in areas which are inaccessible or hidden due to their application
during the construction process and their subsequent enclosure or
covering with building and finish materials. Areas behind walls, inside
chases, or other hidden, covered or enclosed areas were not included
within the scope of this inspection, as destructive techniques would have
been required to access these areas. These areas should be inspected
whenever renovation or demolition activities are scheduled which may
disturb the materials within or beneath these barriers. `Overspray' or
excess materials from the installation or application process of asbestos
containing materials is common, should be expected in the vicinity of
installed asbestos containing materials, and is often present either
covered by other building materials or in hidden or unexpected
locations. This inspection cannot determine the presence of these
materials and their locations and therefore the determination of these
locations and material quantities is outside of the scope of this
inspection.
Bulk material samples are obtained in accordance with applicable
regulations, industry standard techniques and analyzed by a NVLAP
accredited laboratory; however, due to the asbestos content fluctuations
which may occur in a building material due to the application and/or
initial mixing process no guarantee can be made as to an `exact'
percentage asbestos content (this includes 'no asbestos detected' and
`trace' contents) which represents the entirety of the material (asbestos
content fluctuations can and will occur throughout a building material).
Abatement cost estimates and material quantity estimates are
approximate only (due to the hidden nature of many of the materials),
and are provided only as a general guideline to the client. More than
one licensed Colorado State asbestos abatement contractor should be
consulted to determine actual abatement costs of the ACBMs described
above. Actual material quantities can only be determined by complete
removal of covering materials.
Please call us with,,any questions which you may have concerning this
report and our commendations. Thank you.
ou la A. Close
Co ra o State and EPA Certified Asbestos Building
In p for/Management Planner #2930
These plans must be kept at
building site or inspection
delays may occur. Construction
shall conform to these plans.
CHAPTER 4 All changes shall be approved
RESIDENTIAL ENERGY EF by the building official.
SECTION 401
GENERAL
401.1 Scope. This chapter applies to residential buildings.
401.2 Compliance. Projects shall comply with Sections 401,
402.4, 402.5, and 403.1, 403.2.2, 403.2.3, and 403.3 through
403.9 (referred to as the mandatory provisions) and either:
1. Sections 402.1 through 402.3, 403.2.1 and 404.1 (pre-
scriptive); or
2. Section 405 (performance).
4013 Certificate. A permanent certificate shall be posted on or
in the electrical distribution panel. The certificate shall not cover
or obstruct the visibility ofthe circuit directory label, service dis-
connect label or other required labels. The certificate shall be
completed by the builder or registered design professional. The
certificate shall list the predominant R -values of insulation
installed in or on ceiling/roof, walls, foundation (slab, basement
wall, crawlspace wall and/or floor) and ducts outside condi-
tioned spaces; U -factors for fenestration and the solar heat gain
coefficient (SHGC) of fenestration. Where there is more than one
value for each component, the certificate shall list the value cover-
ing the largest area. The certificate shall list the types and efficien-
cies of heating, cooling and service water heating equipment.
Where a gas-fired unvented room heater, electric furnace, or base-
board electric heater is installed in the residence, the certificate
shall list "gas-fired unvented room heater," "electric furnace" or
"baseboard electric heater," as appropriate. An efficiency shall not
be listedfor gas-fired unvented room heaters, electric furnaces or
electric baseboard heaters.
SECTION 402
BUILDING THERMAL ENVELOPE
402.1 General (Prescriptive).
402. 1.1 Insulation and fenestration criteria. The building
thermal envelope shall meet the requirements of Table
402.1.1 based on the climate =one specified in Chapter 3.
402.1.2 R -value computation. Insulation material used in
layers, such as framing cavity insulation and insulating
sheathing, shall be summed to compute the component
R -value. The manufacturer's settled R -value shall be used
for blown insulation. Computed R -values shall not include
an R -value for other building materials or air films.
TABLE 402.1.1
INSULATION AND FENESTRATION REQUIREMENTS BY COMPONENT"
MASS
CLIMATE
E F U FACTORb ENESTRAN I U FACTORb
14:NSHGCb,DIONLCE�Gn
FRA OAt DELL I R WALL VALUE' R VOALOUE I BR -VALUE
1.2 1 0.75 0.30 1 30
4 except
arine 0.35 0.60 NR 38
linimum 5 and
aquirements arine 4 0.35 0.60 NR 38
I
4/6 1
13
1p
13
5/8
19
5/13'
13
5/10
19
10/13
20 or 13+5' 1 13/17 i 30g
20
21
10/13
For SI: I foot = 304.8 mm.
a. R•values are minimums. U -factors and SHGC are maximums. R-19 baits compressed into a nominal 2 x 6 framing cavity such that the R -value is reduced bR-1 or
more shall be marked with the compressed batt R -value in addition to the full thickness R -value. y
b. The fenestration U -factor column excludes skylights. The SHGC column applies to all glazed fenestration.
c. "15/19" means R-15 continuous insulated sheathing on the interior or exterior ofthe home or R-19 cavity insulation at the interior ofthe basement wail. "15/19"
shall be permitted to be stet with R-13 cavity insulation on the interior ofthe basement wall plus R-5 continuous insulated sheathing on the interior or exterior ofthe
home. "10113" means R-10 continuous insulated sheathing on the interior or exterior ofthe home or R-13 cavity insulation at the interior ofthe basement wall.
d. R-5 shall be added to the required slab edge R -values for heated slabs. Insulation depth shall be the depth ofthe footing or 2 feet, whichever is less in Zones 1
through 3 for heated slabs.
e. There are no SHGC requirements in the Marine Zone.
f. Basement wall insulatic i is not required in warm -humid locations as defined by Figure 301.1 and Table 301.1.
g. Or insulation sufficient to fill the framing cavity, R-19 minimum.
h. "13+5" means R-13 cavity insulation plus R-5 insulated sheathing. If structural sheathing covers 25 percent or less ofthe exterior, insulating sheathing is not
required where structure; sheathing is used. If structural sheathing covers more than 25 percent ofexterior, structural sheathing shall be supplemented with insu-
lated sheathing of at least R-2.
i. The second R -value applies when more than half the insulation is on the interior ofthe mass wall.
j.
For irnpactrated fenestration complying with Section R30 1.2.1.2ofthe InternationalResidential Code or Section 1608.1.2ofthe InternationalBuilding Code, the
maximum U -factor shall be 0.75 in Zone 2 and 0.65 in Zone 3.
SLAB'
R -VALUE
& DEPTH
CRAWL
SPACE
WALL
R -VALUE
0
0
0
0
0
5/13
10, 2 ft
10/13
2 ft
10/13
10/13
l0 13
410,
10 4 ft
10 4 ft
2009 INTERNATIONAL ENERGY CONSERVATION CODE® 27
INSPECTION REQUESTS IN PITKIN COUNTY
Please call our inspection line at 920-5532 or go to our website at pitkincounty. com. Please provide all the
requested information. Incomplete inspection requests will be set aside until the dispatcher has time to callou. In
many cases this means you will not receive your inspection until the following day. Zoning inspections will be done
by appointment.
Provide the following information in this order:
Permit Number:
(Example: 00 1 0.2007.prbk; give the permit specific to the work being inspected)
Type of Inspection:
knxampie, reoar in toundation walls, or plumbing waste & vent)
Contact Name & Phone No.
Address & Owner:
Date Requested:
Contractor:
�Yerson accompanying the inspector and his cell or job number)
"Nk-L(uh roux 11 IE IF APPLICABLE
(contractor on the permit that is being inspected)
This form is for your convenience. We suggest that you make copies to fill out and use when calling in your
inspections. Our goal is to give you the best possible service.
INSPECTION TIMES: Due to having the entire county to cover and making the most efficient use of our time,
our inspection route generally begins in the Aspen area until around noon, then down valley inspections will be done
in the afternoon. Anything beyond Old Snowmass will be done in the late afternoon.
We cannot accommodate inspections before 10:00 am. We have paperwork to complete before doing our
inspections.
CONCRETE INSPECTION INFORMATION
Inspections for footings must be COMPLETED the day prior to pouring concrete. This means that the inspection
request must be in our system no later than 7:00 am of the day prior to the pour. Inspections for walls must be
performed when wall forms are open faced.
ADDITIONAL REQUIREMENTS FOR WINTER CONCRETE POURS
Winter concrete pours are required to pass a temperature check prior to the concrete pour. You must call in a
temperature check inspection. We cannot guarantee to be able to be at the jobsite the morning of a pour, so the
inspection should be called in to be performed the day prior.
Heating the concrete water is a requirement for cold weather concrete as well as having all contact surfaces as close
to the concrete temperature as possible prior to placement. ACI 306R requires these measures as well as continued
heating and insulation of the concrete for the appropriate amount of time to prevent freezing of green concrete. All
of these processes will be followed or you will not be permitted to pour concrete in the winter.
FIREPLACE WATER HEATER REPLACEMENT FURNACE REPLACEMENT INSPECTION
INFORMATION
It is the responsibility of the contractor installing new or replacement fireplaces, gas log inserts or appliances,
furnaces, boilers or water heaters to be present at all inspections or make prior arrangements with the building
department. Final inspections will be rejected if the permit holder is not on site.
5/19/2015 county/website-forms/permits & checklists/originals to edit
123
CBO Inc.
33 Four Wheel Drive Road
_ x Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla ostberQ(a�pmail com
August 17, 2016
r
Fraser Freeman
qffreemanreganconst com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
1650 McLain Flats Road
Pitkin County, Colorado
Fraser,
As requested, CBO Inc. performed an Onsite Wastewater Treatment System (OWTS) Use Permit
inspection at 1650 McLain Flats Road, Aspen, Colorado August 9, 2016. The legal description of the
21.38 -acre property is as follows:
Subdivision: WHITE HORSE SPRINGS Block: 1 Lot: 22 AND:- Lot: M AND:- Lot: B Quarter: NE Section:
27 Township: 9 Range: 85 LAND IN LOTS 9 & 15 SEC 27-9-85 AS DESCRIBED ON PLAT BK 100 PG
1 CONT 21.38 AC AFTER LOT LINE ADJUSTMENT
The permit and record drawing was provided by Pitkin County Environmental Health Department (Parcel
ID #2643-271-00-002). The subject residence will undergo a remodel that will not change the bedroom
count in the resdence. Three OWTSs serve different wings of the residence.
Kid's Winq
This OWTS consists of one 1250 -gallon, two-compartment concrete septic tank followed by pipe and
gravel trenches. Aspen/Pitkin Environmental Health Department Individual Sewage Disposal System
Permit 89017 documents this system. The system was sized to accommodate 4 bedrooms. No
record drawing of this OWTS was provided.
The septic tank is located south of the residence. No clean out was observed between the house and
the septic tank. Both septic tank lids were accessible from grade. Both inlet and outlet tees were present.
We typically recommend installation of an effluent filter; however, the outlet tee is positioned under the lid
of the tank making the installation difficult. If installed, the outlet tee may need to be extended further into
the manhole lid opening.
There was no scum and approximately 18 -inches of sludge (not dense) on the inlet side of the septic tank
and 8 -inches of sludge on the outlet side of the septic tank. Solid accumulation in the septic tank
does not warrant pumping at this time.
We walked the approximate soil treatment area (STA) and found no inspection ports. There was no
evidence of surface saturation and no evidence of failure at the time of our inspection.
itwil
oMmulrX
- -I -cNLlt, ianK i►as looking toward house
vuuet tee
Main House
This OWTS consists of one 1250 -gallon, two-compartment concrete septic tank follow
gravel trenches. Aspen/Pitkin Environmental Health Department Individual Sewage Disposal
Permit 85006 documents this system. The system was sized to accommodate 3 bedrooms.
o pipe and
record drawing provided on the overall site plana p I System
length. The permit documents that the trenches must be installed 7 -feet deep into coarse,appears sandy
The septic tank is located south of the residence. No clean out was observed between the
house and
the septic tank. Two septic tank lids were accessible from grade. There may be a third manhole
between the existing lids allowing better access to the second compartment of the se tic to
recommend having the pumpers look for an additional lid the next time the septic tank is um lid
inlet and outlet concrete baffles were present. The concrete baffle prohibits installation tank. of an effluent
We
filter. We did not observe the actual outlet exiting the septic tank. Pumped. Both
There was 1 -inch of scum and 18 -inches of sludge in the inlet side of the septic tank. T
inches of sludge in the outlet side of the septic tank. Solid accumulation in the septic
warrant pumping at this time; however, the tank may need to be pumped in then here were 12 -
on use. p c tank does not
ext year, depending
We walked the approximate soil treatment area (STA) and found no inspectionorts. There was no
evidence of surface saturation and no evidence of failure at the time of our inspection.
p
outlet baffle access
Athletic Wina
View of septic tank lids
This OWTS consists of one 1000 -gallon, two-compartment concrete septic
seven 'Standard' Infiltrator® chambers, for a total of 787.5 squa
bedrooms exist in this wing of the residence. re feet of infiltrative area. As
Environmental Health Department Individual Sewage Disposal System Per tank followed by a six rows of
system. The system was sized to accommodate 525 gallons of wastewater flow pen/Pitkin
mit 96047 documents this
Per day. No
The septic tank is located west of the residence. Both septic tank lids were accessible from
inlet and outlet tees were present. We typically recommend installation of an effluent filter
outlet tee is positioned under the lid of the tank making the installation difficult. If installed, grade. Both
would need to be extended further into the manhole lid opening.he outlet tee
however, the
There minimal sludge and scum in this septic tank. Solid accumulation in the septic t
warrant pumping at this time; however, we recommend having the pumper attempt to remove the roots
in the outlet side of the septic tank during the next pumping. p tank does not
We walked the soil treatment area (STA) and found one inspection ports with a missing
was dry. We recommend replacing this cap. There was no evidence of surface saturation and no
evidence of failure at the time of our inspection. cap' The Port
cutlet tee on north cirlo -,r --- -
c tank.
-- N� L k1_11t, missing)
This evaluation is not a guarantee of future system performance. This inspection is good for
This report and a completed application packet must be submitted to the Pitkin Count one year.
y one
Health Department. The following links are the required application and application checklis
Application: t.
http://www.pitkincou
Application Checklist:
htt')'//www.pitkincou"tV.com/DocilmentCenter/Home/View/620
Disciaimerr This inspection is intended only as an evaluation of the present condition of
based upon what was observed and the Licensed Inspector's expertise in onsite wastewater
The Inspector has not been retained to warrant or guarantee the proper functioning of the system the o any
period of time in the future. Because of numerous factors which may affect the operation offechnology.
as we// as the inability of the Inspector fo supervise or monitor the use a maintenance of th Offor any
report shall not be construed as a warranty by the Inspector that the system will function properly OVl?S
particular prospective buyer, and the Inspector disclaims any warranty, either function
s OWTS this
arising from the inspection of the OWTS or this report. The evaluation does not r expressed
xpre sed . l y for any
system is having on groundwater, p ed or implied,
e impact the
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification * 110441TC Exp. April 2018
I PA P [I I ly. '
3P�E,:�AL
PA C L I
SEMOIN To
G E
ANGE 85 WEST
v
0
onsite VJasteHrater 1 reatment $ sterns
Perrnit Inspection F �Ci4� f5) Use
Pitkin County Environmental Health Deh e
76 Service Center Rd, As ormpartment
Phone; 970-92a50Aspen, CO S1b11
70 Fax: 970-920.5374
Inspeian form website:
rm for continued use of an existing OWTS
Owner's Name:
Address:
Parcel Number: y` --
Inspection Date:_'
Inspector's Name: ,
Business Name:
Phone number --`---
Email: —
Pitkin County Systems 1nspe r License Number
t, ---
th
�•�fe Inn , � � _ ,.
rn_; of r Fin,: Coin if .`.
QUESTIONS FOR PROPERTY OWNER
Is the home currentlyR/
occup
OR TO INSPErr
ied? -� TION:
If NO, how long has the home b HES'-. NO
Hoy man been vacant?
Y bedroorrs are in the home?
If secondan, treatment is used, who is the
maintenance provider;
RECDRDS:
1Ner e system recordc �s , ,
aiiable from pitkin mCounty? YES�
If YES. Permit nuber:
Late of Fir.sl Approval: ---
t00
# of bedrooms permi tted
_
4112S an as -built drawing available? ! -
Is the as-bung accurate? t drawin YES-
I. NO; ate?
NO
Complete a drawing YES
of the system on lost Aoge
NO
possible, of this
form os orcurotel y as
SITE CONDITIONS:
Proper grading, no evidence of erosion?
Improper vegetative
cover?
Evidence of compaction such as hea
Improper discharges
W machinery or livestock?
PASS
N6.
FAIL
YES
such as strai h
g Pipes?
Evidence of high
NO
YES
ground water?
Snow cover present?
p,cy�,
FAIL
NO
YES
N&
YES
Page 1
41
TANK:
Tank capacity
Tank material""
# of compartments
Date of last pumping
Lids/risers in goed tondition
Risers to grade
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
Outlet sanita.y T/baffle
Effluent filter {if part of design)
Condition of tank material
Tank was pumped for inspection
If YES, list the pumping company
If NO, when +A,as the last
Scum level (1st compartment)pumping
Sludge levet ( 1 st
compartment)
Scum level (2nd compartment)
Sludge level (2nd compartment)
Backflow (if pumped)
Midtank batfle
Tank I
gallons
Tank 2
�Tank
gallons
rEiJ� .
FAIL
PASS
inches
NO
inches
nches
YES'
NO
YES
FAIL
BASS
FAIL
FAIL N/A p ASS
FAIL
FAIL N/A
FAIL PASS
NO
YES
NO
PASS
FAIL
PAS
FAIL
FAIL
P
FAIL
PASS
FAIL
PASS FAIL
�.
PASS FAIL
FAIL
PASS
FAIL
PASS.
L
PASS
N/A
PASS FAIL
N/A
YES
NC
YES
FAIL
PASS
FAIL
NO
YES
NO
��.!nc
. FAIL
_hes
inches
inches
NO
inches
nches
YES
inches
inches
FAIL PASS
inches
FAIL N/A p ASS
FAIL
FAIL N/A
FAIL PASS
FAIL
PUh'1,PS/DOSING SIPHONS:
Is a pump or dosing siphon present?
If YES, is the pump/dosing siphon functioning properly?
Does the PUMP/Wiling/closing siphon appear to be in
Is the high water alarm vvorkin , good condition?
"'EC0t,D.4 R" r g both visible and audible?
Is a secondary treatment unit present?
If YES, does the
inches
inches
inches
PASS FAIL
PASS FAIL N/A
PASS FAIL
YES NO
PASS FAIL
PASS FAH.
PASS i•AiL
unit appear to be in good working condition.? YES
Does the owner have z current maintenance contract for the unit? NC
NO UNKNOWN
�RO�'dhi
Maintenance Provider: YES 40
}•Ec
Phone: r+�G UNKNOWN
ABSORPTION AREA;
Effluent surfacing?
Evidence of past surfacing?
Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation port?
If YES, record depth:
Distribution Box or ADV part of original design?
If YES, is it accessible from grade?
Is it level and in good condition?
PASS
. FAIL
NO
YES
NO
YES
YES
_NO
Ports
Probing
NO
YES„
------ _____
inches
YES
O
YES
NO
PASS
FAIL
Page 2
S
Any problems with the s
ystem that were
—"-- _ not addressed in the inspection
c
hecklist?
Please list any recomons for the _—
mendati'
continued use of the system;
Were any repairs dcn_eas a result of this inspection? �
If rES, please cesce repairs. thNO' �S
_ rs.
To the best— o� f my vied
ge and trainir,� �"--
s, the information
Licensed-� 20 collected i
ysterns insf,ector Signature; n this inspection is accur�a ---
te as of
CIS labei an , ictur
es and attach thea, to this f r
Page 3
^�
/ ^^ — �-----�-----
\
Phone 970--920-507ar-ax 970-920,
'For New lnst&ffaliOn xv Repair( / nem��/
.
! �Name of OwAlep.
Mimew Phone,
Legal D—riptio, Lot
TYPE of
n�"m"�"m�uw�--- �—ize --~~�~°~p� -- /
COM
Has & Ts pro, ul been a Yes )NO tet Z'2d ve: PUMP tW or aporo%-el Itt,-- iron) — a�S7
incom%ele lap
g1j, POS, walerfirles, SPIV.
or
r-p—rh'-w. in
-----------------------
. .........
Date Q
-----------------------------------
7111
IL
-in per inch Writing!
4n lnsP-tiort h� required prior to ,FCkfllj of any *Ornpoin/
writing, YU W be p.
P*rmlt approval by: rt in writing and the an '"Ificatio—M of the angirIeer Must be tonaIr"ad. Any changes M aP d by the
site Plan
ciato ranaived i. plan
Final 111SPection Approval. Water System Letter Daie Into complete
Do to.. F1111al InSp Requested
— .4 K
)+ �+ + Illi ����� ' ,+ii '1}'i� i; I il�,,,• , ,
] � �!� i tl�ldi I �! ,II � �,� �1 11i i�id � •�I I I! �I � I3)�fl I� )(j '� '�i g�"
I
: a u� 1'v 1 4�N.^���G+�T�3k• l::}d��l;.".�+11���L1'Tn: +'. �bV 1� lt,t.���iTia= `. �.�lLy+et,�'�ftir.LlC.r='.i) KN�+✓lao�P. 7 P �f
B&H Gene. -al Contkactcrs
0898 HWY. .'33
Carbondale, CO S 1623
,:'Fax 963-5969 Phoie 963 E=�
P, -e- infillratior Systery-, SizIL,8
Vi ek'eass Fro; ec V
165") iJlc.fair, FkAs Roa6
r'AI.:L County, cc
Dear 8&K:
September I9, I g.,o I
F.SP�p, +,c
IS rCaL�Sie� )y VOi;, we Fire' l'iia•✓I.:.:Ttg the 8it5C�"i.e� ,lCLtl�,iC13£ fo; sizing the w.�7^��e 5e !C
system. C2
FI-QMII F A '1" l;
Design of the system dos rot fEU info auj cf the comm >
L�.ai ibis system v�ill service a resiueLtial ;{, ort Dov, des;gn itez due to the &Cf
p near 1}, for a single iamil� �, v,_I no, bedrooms. Usage of, e system is
mut �he:t is the ote
�sir�g the fari i les, he cesig ? ,_-rates p `al for rrxul p1e persons to be present az�c
taSC:( rr� it C C:n _G =fie aTP �+rrJlJ^vv:rg ?u*e fr0<7 the ice+ i i
basketbil ge � the 5 J C C ", ;)
ede -�= r , rete is
gK.11aris per c"a,y
SEPnC EA,
The required septic taut: size is 75fr
may be substituted for the -15C gallon tanjc.gafi1,000 gallop tanks a -e more dil}• available and
AREMM"MI&RU
We recommend the system be located as shotin on the attached Figure
System over holes R I and P-2 -Which were done by H P Geotech1 L cen%rs the
Should be at the soil/Coarse gravels interface a �) The depth of the system
noted in the HP report. PProximately 54 to 60 inches below the surface as
Tal n, mii„ar r'M �—_
Co. 121 I�IEiOR'�?iC963 969 / IFAS?Q 3
a
B&H General Contractors
September 19, 1997
P&P 2
The perco"onrate tiiai the system size is based on is the average
1A through P -3A (HP testing)� Percolation time of holes P-
% Hole #1 (Timberline Eng Costing). Thew boles are directly
adja^enC to or are yr thlL t-° C posed field location. Tnis s;�e age Wrcola oh rats is 7 r r:z��y
per Inch.
The absorp'�ien field size is bwsed on ti,C fo ,,I,:. _ (Q/5 ,p t) Wit =525 €nd t=e i ('fie
adjusted av �. ^ e . n P- p. E,ir ina. fief .
'ag) This results i ' sgr o size d;f�e1 sr • �,. �^
rE4€3C!}_ < "lu�,�,tOr tiSE" ,°3e i, �i�.� o?LF a� y E..e fe„t _'i_Etr r� pilo
J451 CgL s rE fceL
CESEIw," M 1:i_f en'. .? {y tl liT l;tl'.,
The bec cO*I a'Ir.
r4n is s o��: on the zt t cited Ami
infiltr�tcrs ,t.2 feet). ?nfi ato_s ;gust bs ns 11 e s �_ e size I—Dtmtdrs (I- fee)
recommendwtions Ivith n0 Ar ed acco.asr,g to the maa;;u��ac:urers
gravel und, the io itrators. On-site soils may be used to bacl:ul
above tteLu�,1#;�.tdr�•s.
Mu'u"v77ox
Tnstaiiation c ^t:,e system must comply u•itri all applicable Pitkin County Environmea i i�ea ti
Tcegulatio:,s and Infiltrator recornruendst7ors. Tile location oftbe 1'arious components cru. thr
relationship to existing buildings and lrops-rL), lines is shown on the attached Figure 1.
Si7'
,e:•E=y,
David A. Powell, PE
Aspen/Pitkin EnvircnmerLw Health Department
Atte: Nancy tviackenzie
130 South Cralem
Aspen, Colorado 81611
P -J L- AS .. .....
ly�
y.
T-1
LINE
D3
s
Onsite Vci tewateC i -re l tm! t S
} stems (dV�P7 j Use
S
Pitkin Co u Permit inspection Form
h Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone_ 970-920-,5070 Fax: 970-920.S374CO8111
Inspection fo website:
nrrt for continued use of
Owner's Na an existing OW7.S
me:
Address: �``
Parcel Number:
Inspection mate:
inspector's Name:
Business Name:
i
Phone u.mber_�
Email:
Pitkin, County Sy,_qems Inspector
A r >_icense Num
ber:
rQ rrni.:nr ttrt r 7
QUESTION ` r stir tiu:; ie ur! {
S FOR PROPERTY O WNEP, PR/ohA TO „-i ie> > . �,•n r t„
is the home currently INSPE s
If 1ti0 y occupied? CTION:
hov+' lorg has the home been vacant? _1
NO
°w many bedrooms are in the home?
If secondary treatment is used,', who is the
maintenance provider?
REccpoS: ------_'_
tr+iere—�'
If YES: systcm records F vailabie from Fit,'M
—
Permit Coj
number: nty? yLS`'
_
Date of Final Ap�-
!�0
cf bedroorr,s "oroval: _
such as heavy
Improper��:
discharges such as machinery or livestock?
Evidence straight
Permitted:
Was an as -bunt drawin
YES
Is the as -bunk drawin 9 available?
If N0: g accurate? YES
_
ComPlete o ftWing o YES
f the Sys
NOJ
on iastNO
page of
this form as
Possible.
accurately as
SITE CONDITIONS:
Proper grading, no evidence of erosion?
Improper vegetative
cover?
Evidence of compaction
PASS ,
FAIL
such as heavy
Improper��:
discharges such as machinery or livestock?
Evidence straight
YES
pipes
of high round
g later? r?
Snow cover Present;
NQ-
PAss,
YES
FAIL
NO
YES
NO •
YES
Page 2
s
TANK: Tank 1
Tank capacity - -•
FAIL
Tank 2
YES
Wank 3
-.; -
Tank material gallons
-,
NO
gallons
Ports
gallons
# of compartments
YES
inches
YES
Date of last pumping
YES
_.__..
NO
PASS
FAIL
Lids/risers in good condition PA55 FAIL
Risers to grade YES
PASS
FAIL
PASS
FAIL
NO
Riser height
YES
NO
YES
NO
Riser condition/watertightness
Inlet sanitary T/baf#te PASS FAIL
Outlet sanitaryPASS
T/baffle P.—
FAIL
PASS
FAIL
FAIL
Effluent filter rif part of design) PASS FAIL htfA
PASS
PASS
FAIL
PA SS
FAIL
Condition of tank material PASS
FAIL N/A
PASS
FAIL N/A
FAIL
Tank was pumped for inspection
PASS
FAR
PASS
FAIL
YES NO'
If YES, list the pumping company —
YES
NO
YES
NO
If NO, when was the last pumping
Scum level (1st compartment)
inches
Sludge level (lst compartment)
inches
inches
inches
'Scum level (2rd compartment)
mches
inches
inches
Sludge level (2nd compartment)
inches.l
inches
inches
Backflow (if pumped) Pinches
ASS....
inches
._._FAX
M baffle__FAX
PASS
PASS
FAIL
PASS
FAIL
FAIL N/A
Waterti
adero
PASS FAIL N/A
PASS
FAIL N/A
PASS FAIL
PASS
FAIL
PASS
FAIL
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present?
If YES, is the purrp/dosing siphon functioning
YES
properly?
the ump/wiring/dosin€ siphon
PASS
FAILDaes
appear to be in good condition?
Is the high water alarm working, bots)
PASS
FP`iL
visible and audible?
SECOIVDArS' TriEA IAEi:'T:
FtSS
FAIL
Is a secondary treatment uric present?
If YES, does the unit a
appear to be in good working condition?
YES
No ,
UNKNOWN
Does the owner have a current maintenance contract for the
unit?
YES
NO
Maintenance Provider:
YES
iIO
UNKNOWN
Phone:
ABSOECBTION AREA:
Effluent surfacing?
Evidence of past surfacing?
Surface dampness?
Excessive odors?
Field location verified by observation ports or probing:
Liquid in observation port?
If YES, record depth:
Distribution Box or ADV part of original design?
If YES, is it accessible from grade?
Is it level and in good condition?
PASS
FAIL
NO
YES
NO
YES
NO
YES —�—
Ports
Probing
NO
YES
inches
YES
NO _ UNKNOWN'
—..
YES
_.__..
NO
PASS
FAIL
Page 2
Any problems with the system that were not addressed in the inspection checklist?
Please 'list any recommendations for the continued use o; the system:
Were any repzi-s done as a result o{ this inspection? No
YES
it YES, please describe the repairs.
To the best of mv knowledge and training, the information collected in this inspection is accurate as of
-- 20—�
Licensed Systems !nspector Signature:
Additional Noes;
Cl - dly IabP► anv pictures and attach them to th__ 1's forte
Page 3
O
1ND71"AL SEWAGE DISPOSAL PLIU-11T FO.._ i � 1�1
'TYPE,OF PERMIT:
xlbyrltinl Conserucslon ( ltrrargoncy Use iRcp<ir 1 ork, tPrc�•iGur petit q
' r 1naE337ation t
..�,.•1 t lsc:tcior.
( IVae pernit as a result of Sale of an existing sylton,r (Previous rrgit €
lOtlw r r - ----- •a
ISSL�D TO: '
DATE OF ISS6E ,
01Ja er
Mailing . Phone Business Phone
Address
Agent: -.4
Ma i l -Iii g
f_ddress
holxe
Sewage Dispose]. System Work to be perform�d by n
S'hls Permit valid only 1cr provisos !
oca;ion by Sic :0110;•'rar !anal dcrcript3'.or.: -
Lt7{ S I S E
T'ais Inrlivldsal Scweyc tispoar.i icrcit ii
- grcn�!•VERQt fERCOJTOiFATF
0,�j
tee, v!`i+ rc 4LrG to :ha 101}OPnrct'StUaiNtab.r ofr Dodreor:e .,,L,' ,�� t
G fl.
Loft. -.r__ Gtrbagc tl3aposa3-_ ' _
_. CLLCULATEO "'F7CE DAILY WS7itAt,Di-��-f �`C}.JrO�Sfli.shvac:hcr=tiHcshorr,
liI "TtIRE OF Tr?E �YSTE;1 INCLUDED LWD.ER TI3ISER 7I7 ~
J, �f 7cnk or Treatment unite
1;ctho4 of final Gisposalt saeit- ;r�%` - �,
���--!!� �': n t Capac ri_1 J('2(� ,� _Gallon Hinimu ,
Ocscziptior- tlncioring brand �nar %/� f-�l"!✓t-% Rbcorptio� .Isee Square Fect Rintr;wr
:f sny of other r:guip er.t or rpPurtnra:ec: r f d�L.
Other condition, or Spccifl. o.a'-'
:enc
7,� �%a✓� r r��C ; `��,�`^� ;� /ti tJ j i /t' /: /_ , ^G'^ J -r
S -- ' /t /i n/ '
STAGES REQUIRING INSPECTION By TtiE'j?IEiiLTi:
t "OfCre Exeavatlon U
pon completion of excavation and *.by.
�V,rLcr
prior ac prr.�.rrncnt of grave],fore covering distribution
to backfill of an, o stcr of abaorptron field
} component t lOehar, Speeif;•i
plad apecificatfons of th¢ .
im hcruh proposed st;wagc disposal rp�tcro have
1 qra,^,ted to t- ovr--cr or his ancn.. to par (ern the been reviewed and ars
SOvayc Dlspo5al RO•rulations jr, cffrrct On th0 date of i•J the {n aldicated abnve cGneiAczcC satlsfactor
thin parmit is sutjeOt tc the "ollowinq jon
.1tho Anal f is and conditit,o in a oo,filen With the Pitkin County Imlivi3uai
nr tc genteel praviaiana see Earth on ;hc ruvuretA�� htreef,
• ASpen/ftin EnvatarjMgnta( '
APPROVED FOR ISSUE BY Health Off m -
(title)
1'h.- alv,vo in:ilvidual
has breve tnsp.•cscua"la dispoltal system installed intalled b
l se by n representative f the A2
lot j.,- uo1:en PLC to L'nvrrr• i'�
rt'�t"ons:Llltly In Ceye o{ !allure or inaJcquacy of tnia sew
is da.,pocal aysccn,
DATE Gi" F -NAL INSPECT
v-
'tab Satrt:h Gaierm Street
nCJlti nrp.,rca,r_n[. The uveae .+ As'-`ur3pf� a
Cowpftlo nn -bulli droving ottschod•
T r.
�enlPitkin Eryvi
L rptp�i
_ _ Heelth �?§k
¢pan, Comrade 8'MIj
��+/fii=C.SG7'G
0
Onsite Wastewater Treatment Systems (C3VjfTS) Use
Permit Inspection Form
Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone. 970-920-5070 Fax: 970-920-5374
Website:
form for continued use of an existing 0WT5
Owner's Name:
Address: _
Parcel Number:—
Inspection Date:
Inspector's Name:
Business Name:
Phone Number
Email: `
Pitkin County Systems Inspector License Number:
.
_.Cf 7St (l ,r�tl lYiS r115 i 1 i
nC::.�::
QUESTIONS FOR PROPERTY OWNER PR/OR TO INSPECTION:
Is the home currently occupied?
If NO, how long has the home been vacant? YES, NO
How many bedrooms are in the home? —
If secondary t-eatment is used, who is the
maintenance provider?
RECORDS:
Were system records available from Pitri;-r Cortin ,�'? F
If YDPermit S: numbey NO
number; YES
Dzte of Final Approval:
# of bedrooms permitted:
Was an as -built drawing available?
Is the a!, -built drawing accurate? YES YES NO
if NO: Complete a drawing of the system on fast page of this f NO rm as accurately as
possible.
SITE CONDITIONS:
Proper grading, no evidence of erosion?
Improper vegetative cover?
PASS
FAIL
Evidence of compaction such as heavy machinery or livestock?
No,YES
Improper discharges such as straight pipes?
f�S9.
YES
Evidence of high ground water?
PASS.
FAIL
Snow cover present?
NO
YES
NO
YES
Page 1
TANK:
Manu material
# of compartmeF.._
Date of last pumping
Lids/risers in good condition
Risers to grade
Riser height
Riser condition watertightness
Inlet sanitary T
Outlet sanitary T/ba[i
Effluent filter (if part of design)
Condition of tank material
Tank was pumped for inspection
If YES, list the pu aping company
If N0, when was the lastu
Scum level (1st compartment) inp
Sludge leve! (1st compartment)
Scum level (2nd compartment)
Sludge level (2nd compartment)
Backflow (if pumped)
Midtank baffle
Tank 1
gallons
Tank 2
Tank a
gallons
PASS
FAIL
PASS
inches
inches
NO
NO
FAIL
inches
Probing
YES
NO
PASS - FAIL
FAIL
PASS FAIL N/A PASS
ASS
—
�–
FAIL
PASS
FAIL
PASS AIL
NIA
PASS
FAIL
PAss'
FAIL
PASS FAIL
N/A
YES
N0._
PASSFAn
YES
No�
-------- nches
FAIL
NO
inches
inches
YES
NO
inches
inches
Probing
inches
inches
PASS - FAIL
inches
PASS FAIL N/A PASS
ASS
FAIL
FAIL
PASS FAIL PASS
NIA i
PASS
FAIL
PUAVS/DOSING SIPHONS:
!s a pump or dosing siphon presert?
If YES, is the pump/dosing siphon functioning properly?
Does the pump/Wiring/dosing siphon appear to be in good condition?
Is the high water alarm working, bo, -1 visible
SECONDARY Tpc�TfA.Er": and audible?
Is a secondary treatrnent unit present?
If YES, does the unit appear to be in good working condition?
Does the Owner have a current maintenance contract for the unit? YES NO
YES UNhNI VN
Maintenance Provide!-: contract
YES NO UNY.NOWid
Phone:
PASS FAIL
YES NO
PASS -FAIL
PASS FAIL
PASS FAIL N//
PASS FAIL
}'ES NO
inches
inches
= inches
inches
PASS FAIL
PASS FAIL N/A
PASS FAIL
YES
No
PASS FAIL
MASS FAIL
PASS FAIL
ABSORBTION AREA:
Effluent surfacing?
Evidence of past surfacing?
Surface dampness?
Excessive odors?
Field location verified bt. observation ports or probing:
Liquid in observation port?
If YES, record depth:
Distribution Box or ADV part of original design?
If YES, is it accessible from grade?
Is it level and in good condition?
PASS
FAIL
NO
YES
NO
YES
NO
YES
Ports
Probing
NO
YES
inches
YES
NO-UNKNO.
YES
NO
PASS
FAIL
Page 2
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations fo- the continued use of the system:
)Were any repairs done as a resu!i Cf this inspection?
NC YES
If YES, please describe the repairs. `
To the best of My �—
yknowledge and training, the information collected in this inspection is accura
20
LicensPc Systems Ins _ to as of
pector Signature:
Ac'ditional Notes.
clearly b2bel a)Y Picturps
and iittach thigm
to this or
Page 3
ENVIRONMENT t L HMAL � w
!MIVTDUAL SEWAGE DISPOSAL PER2-:TT 0� j 0
PE OF PERMITT
Initial Conetructlon ( )Emcrgoncy ore ( )nopair work.mievious FErn.i.t E ) (9dlieration of an exiriing tystem,
er ±nstallation (t-reviou:, Perr:.it t
( )ore Perrit at c result of Sale ( ,Other;
ISSUED TO: W -OF. OF %S:�t
Rome Phos. ' '4>J"< Tsssir:e�s P one _
14aiting
Atid.ress - — -
INr -
Agent �
Address
Sewage Lispesa! c,stern Work to be perf�ermec b. eftit��_,� � i� + ,� ---V �
Chir permit vzlic' or.],/ :c: pser•irer. Iecatior. by tic fcllotiinc Icgal dedcrsption$ hL, j �� UEcjJ�
�y [ �; E 1.' ^CS.hT.9,;
3. b (t�:7�1-5 F'..:4;is SUP, L..'Ci`. �•�.r!('s! ,,]f'�zs1`G' t' s 3. EF.M'.L P.:R..
�rif.t ;nd.ViauAl Sevr.ge ._spasnl Permit ±r granted with rc'�trd to the follovInr ustc �,•'f,l- yh��t) gt� f t F ti
e.c.thet vzsher,- i €:
! r&,er of: iodreona _ 1 -- LoiL` Car aRe Dirpos[s'ls i__ rrlrhMa_hcrt ! -- — fF
CMCULKU, AVERAGE Dill LY }:.lSSE i'01"L
THE NATURE OF THE SYSTEM INCLUDED MMER THIS PERMIT: l _
oc of ;sn). or 2raatlacnt Unit /Pi��F+ tapeeity_ w__,lCtl-Ior.
'�_ ,.•.� 'r j utrc Feet Xia3nw%
d'thod of rSnal C!_pcsrli 5---rJ>Ata� JtE�Gu 9baoYy: 0 7rec J ''a'�� 3_(54 y I
,r171
Y.h__ Condi tioc_ or speci:i.c; - :a&s' 'DL).-/ o✓ ✓ LSi^ fi i fi.- (tee a aj j
NF1 -h_TR�
Ube,Jk
;1 �.! r �- i t V
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTIENT.
{ )nefore xxeavation (kyt/pon completion of exc.—tion end prior to p;ttcnent of grovel DtsCec o verinj ,bbsorptionrfi�eld r
s
Yrior to backfill of any cor..ponent i ;Other, specify:
plana and srpecifieations of the proposed sewage disposal system have bcer, reviewed and ere contidcree satisfactory. Permisslon
is hereby granted to the owner or his agent to pe�rfnrc the work indicated above in accordance with the Pitkin county individual
Sewage Disposal Ro.rulitions in effect on the date of issue. In addition tg general provisions act forth on the revcroe her,
this permit is subjoct to the following additional terms and on editions:
QA7F" _ -- --
APPROVED FOR ISSUE BY
(title),�t
The above inilvidVal xcvaga disposal sYst". installed by T,9 -,q �+"� Eli -
hew tK c;; lnspcctod tar use by a rcpresentativc of the Aspen rtmtnt. rhe ounar asaumoc all
'tt in cnvironrrnta -fico t Dcpa
` rusponsiLility in case of t.oilvre or Inadequacy o1 thiyrsew -ia diD atl system. complete hr -built draving attacho6.
DATyOr, N M EGIi'I /y/
BY: TIS LE
'E3>�
3[33/925-2®2Q
sour Gelena� Street Aepan, Colorvda e1�
Learn these simple steps to
protect your home, health, environment a
w,
nd PI-operty value:
septicsMal. t
3 f
3 Q1�
� 4 �
a .de
Do:
Have?w� r
and h Your system tank inspected lin general) ever
Pumped, when necessar y three years b
Y generall y a licensed contractor
Y every three to five years.
Don't:
Pour cooking grease
sor ell down the
ink or toilet.
Rinse coffee grounds into the sink.
Pour household chemicals down the
sink or flush them.
Do:
Eliminate or limit the use of a garbage
disposal.
Properly
erly dispose of coffee grounds g
Put grease in a conta iner to harden
-i_ before discarding in the trash.
Don t. w .. ..
Flush non -degradable products or
chemicals, such as fe
minine hygiene
Products, condoms dental floss
diapers, cigarette butts, cat litte
towels, pharmaceuticals. r, paper
Don't:
• Park or drive on your drainfield. The
We1ght can damage the drain lines,
Plant trees or shrubs too to your close
drainfiefd, roots can grow into your
system and clog it.
Don't
Concentrate your
Your dishwasher, water use by using
shower washing
machine, and toilet at the same time.
All that extra water can really strain
Your septic system.
Do:
• Dispose of these items in the trash can!
Do:
Consult a septic ser
advice professional to
vise you of the proper distance for
Planting trees and shrubs, depending on
Your septic tank location,
Do:
• applances.e use of water -generating
This can be helpful
especially if your system has not been
Pumped in a long time.
• Become more water et6,"t by fixing
Plumbing leaks and consider installing
bathroom and kitchen faucet aerators
and water -efficient products,
�.-7Vt )S1e eartrn feet 400
raters, 100
1C I_ L►a.lrG%/Ic��/�
ELECTRICAL PERMIT APPLICATION 3
JOB ADDRESS
1650 McLain Flats Road, Aspen, CO
OWNER
Weinglass Leonard Rev Trust
ELECTRICAL CONTRACTOR
Pine Mountain Electric, Inc.
BUILQINQ PERMIT #
PITKIN COUNTY COMMUNITY DEVELOPMENT
130 S Galena St Third Floor Aspen CO 81611
INSPECTION LINE 970-920.5532 PH: 970-920-5526 FX: 970-920-5439
PERMIT NO. (Office Use Only)
USE OF BUILDING ❑COMMERCIAL
MAILING ADDRESS PHONE
P.Q.Box 1, Carbondale, CO. 81623 970-945-1395
OCCUPANCY GROUP EL�IRRE�Sl���
SQUARE FOOTAGE
260
CLASS OF WORK ❑ ADDITION I ❑ ALTERATION _f_❑ NEW 1 ❑ CONSTRUCTION ❑ SOLAR I 0 OTHER
SERVICE
DESCRIBE WORK IN DETAIL (For additions• alterations• indicate type• number and location of source of circuits)
Remove track lights and ceiling fans. Remove storage room fluorescents upstairs.
Pull existing wiring back for ceiling repair work. Re -install wiring after ceiling repairs.
Re -install light fixtures after ceiling repairs.
All wiring and fixtures to remain as originally installed.
OWNER: The undersigned applicant to personally perform electrical work on the described property or residence hereby certifl as, as a condition of Issuance of such permit,
that the a66vw dosrrih.4 ernr. .. — —1,4----
- - - --- --•- -• •- ••�• �. uccv e yr tv rre a cu leo o tenants wnether transient n anent nor will it be
rreneralty oven to the public. It is understood that compliance with these assurances is a condition of the issuance of an electrical permit to the applicant pursuant to the
Provisions of C.R.S. Section 12-23-111 (2) (as amended), and that failure to comply herein will be grounds for revocation of the electrical permit or any certificate of
occupancy issued with respect to the property or residence described. DO NOT SIGN THIS SECTION IF YOU ARE A LICENSED CONTRACTOR.
Signature of Owner
Date.
Note: Engineer stamped electrical one -fine plan required if service is over 460 amps. Low voltage drawings must be done by NICET engineer
PAYMENT OF PITKIN COUNTY USE TAX
The General Contractor or Owner Builder Is required to pay a Use Tax Deposit to Pitkin County
(.5%) on the building permit valuation at time of issuance. Alf sub -permits pulled under a building
permit are paid by this deposit payment and should not pay Use Tax. Stand alone sub -permits are
required to pay a Use Tax Deposit to Pitkin County (.5%) Deposit .59`0 of 50% of project
valuation.
Project Valuation (includes labor) $
Exempt: Exempt Organization
Tax Exempt ID Number
Property liens may be placed on the owner's and/or the contractor's property
when Use Tax Is not paid.
ELECTRICAL CONTRACTOR
For all work done under this permit, the permittee accepts full responsibility for compliance with the
National Electric Code and County resolutions, and/or state laws• whichever applies. Permit
subject to revocation or suspension for violation of any governing same. An accepted final
electrical inspection shall be obtained prior to using the electrical system. A final electrical
nspec60n shall be requested within 48 hours after compieting an electrical installation.
?11311 (o
Signature of Eiectr al Contractor Date
Print Name
Use Tax
Permit Fee
Double
$
$ I4qq' Sa
$
Approved by Fire Marshal ❑
Date;
Approved by HPC ❑
Date:
Building Department Acceptance
Approved By.
Date:
Permit Validation
Date
Receipt #
Total
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