HomeMy WebLinkAboutpitkin.bldg.264310401001,264310401002DOCUMENT
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
1. Job Address: \ U 1
2. Legal description of property:
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CLEARING, GRUBBING AND EARTHMOVING PERMIT APPLICATION
130 S Galena Street. - Aspen, CO, 81 / nq
970-920-5526 Fax 970-920-5439 Permit # L'
www.aspenpitkin corn �`�l
Receipt # J ! U"
VALID PERMIT MUST BE KEPT ON SITE AT ALL TIMES
Permit valid for one year unless otherwise specified.
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3. Owner(s)' Name: Contact Number:
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4. Owner's Authorized Agent: Contact Number
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5. Contractor's Name: Contact Number'
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6. Architect or Engineer on Record: Contact Number.
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7. Parcel ID number of property where work wi$$ occur:
Z(01(31cyQ0Joi)I -4 Q1C7t)
8. Property also known as: (Provide a detailed map showing the for
nd use approval
10- Type of work
Mailing Address:
Mailing Address:
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Mailing Address:
Mailing Address:
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Check http:/ www.aspenpitkin.r-om/Departments/Assessor or call the
Pitkin County Assessor's Office at 970-920-5160 for the parcel ID number.
at legible sca$e)
Berm(s) Trench(es) Traii(s)_ Undergrounding Utilities
Ponds (s) or other water diversion(s) X Clearing/Grubbing Site Grading
Other.
11. Type of material to be excavated of placed on property:
11a. Material will be brougfiltffom: 11 b. Is the material possibly contaminated? Yes No
i1c__Excavated material will be taken to: All N4;ok a-AAkA'
12. Description of work'
acreage or square footage of disturbance: ►
+Total cubic yards of material moved.
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Max cut depth: Max fill depth:__
13. Will the project result in disturbance of z 1 acre of land? Yes
133. If you answered "Yes submit a copy of your state Construction Stormwater Permit or R -Factor waiver. Information on this permit is
available at: http llwww.cdphe. state. Co. uslwqlPermitsUnitlstormwaterlconstruction.htmI.
14. Is any portion of the project already complete?O. If yes, give reason and date(s) of prior construction activity.
15. Will the project disturblresult in removal of any vegetation? Yes A No
15a. If you answered "Yes" submit a revegetation plan, including a plant list with scientific names of species, planting schedule and method
Of irrigation. The County's Revegetation Guidelines are available at: http:llwww.aspenpitkin.com/Departments/Public-WorksfLand-
Management.
15b. How will you prevent the establishment of noxious weeds at the project? sx-VA
16. Will the project result in disturbance of any wetlands or riparian areas? Yes No h
16a. If you answered "Yes.,, submit a description of your revegetationlmitigation plan, including a plant list with scientific names of species,
planting schedule and method of irrigation. Also submit a copy of your U S. Army Corps of Engineers Sec. 404 permit in connection wit
any disturbance of "jurisdictional waters" of the U.S. Contact the U.S. Army Corps of Engineers in Grand Junction (970-243-1199) for
information on Sec 404 permit requirements.
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Earthmoving Permit 2011.x15
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APPLICATON
MATERIAL