HomeMy WebLinkAboutpitkin.planning.264321200851 (2019)'HVFULSWLRQ
&DVH1R 63( 3DUFHO,' $SSOLFDWLRQ'DWH
3URMHFW$GGUHVV
&RSLHV
3URSHUW\2ZQHU &,7<2)$63(1
-81,3(5+,//'5$63(1&2
$GGUHVV
$63(1&2
6*$/(1$2ZQHU3KRQH
2ZQHU
V5(3 %5,77$*867$)621 $GGUHVV 32%2;
$63(1&2
5(3
V3KRQH
$OORFDWHG+RXUV
2YHU+RXUV
3ODQQHU
5(3
V(PDLO EULWWD#WKHIDUPFROODERUDWLYHRUJ
(DUWK'D\(DVWHU&HOHEUDWLRQ7HPSRUDU\&RPPHUFLDO8VH6SHFLDO(YHQW
3HUPLW'DWH
5HIHUUDOV $//27+(55()(55$/6 2WKHU5HIHUUDOV
&RPPHQWV'XH'DWH
0HHWLQJV VW0HHWLQJ QG0HHWLQJ UG0HHWLQJ
0HHWLQJ'DWH
5HYLHZ%RG\
3XEOLF+HDULQJ"
1RWLFH'DWH
0HHWLQJ1RWHV
$SSURYDOV
%2&&5HVROXWLRQ
%2&&2UGLQDQFH
3 ='HWHUPLQDWLRQ
+2'HWHUPLQDWLRQ
$GPLQ'HWHUPLQDWLRQ 15
2WKHU,QIRUPDWLRQ
95$SSURYDO'DWH
95([SLUHV'DWH
3ODW5HFRUGHG'DWH
3ODW %N3*
5HPDUNV
$SSOLFDWLRQ7\SH
1
PID#: 2643-212-00-851
Case #: SP00-19
SPECIAL EVENT PERMIT
Administrative Decision No. 030-2019
Name of Event: Earth Day/Easter Celebration
Brief Description: The Farm Collaborative is hosting an Earth Day/Easter Celebration free to the
public (at the FarmPark at Cozy Point). Event will include an all-natural Easter Egg Hunt, Earth
Day crafts and activities, and farm tours. Venue capacity: 300 people or less, including 9 staff, 14
volunteers.
Location: Juniper Hill Road (Cozy Point Ranch)
Event Date(s): Sunday: April 21, 2019
Event Time(s): 2:00 P.M to 4:30 P.M.
APPLICANT: Britta Gustafson/The Farm Collaborative (The FarmPark at Cozy Point Ranch)
PRIMARY CONTACT: Britta Gustafson SECONDARY CONTACT: Eden Vardy
PHONE: 970-618-8380 PHONE: 970-379-2323
EMAIL: britta@thefarmcollaborative.org EMAIL: eden@thefarmcollaborative.org
In consideration of the issuance of a Special Event Permit pursuant to Section 4-30-50(j),
Special Events, in the Pitkin County Land Use Code, the Applicant agrees as follows:
The Applicant hereby agrees to indemnify and hold harmless the County, its officers, agents and
employees, from any claim, loss, liability, damage or cost sustained by any person or property, to
the extent any such loss, liability, damage or cost rises from any activity associated with or related
to the special event set forth in this permit or the use of County-owned equipment, supplies or
property associated with the special event.
The Applicant hereby guarantees to ensure financial responsibility for the payment of all bills,
repairs, damages and otherwise ensure performance of all conditions of approval to Pitkin County.
The Applicant hereby agrees that Applicant shall comply with all other applicable provisions of
the Pitkin County Code and all other obligations and conditions set forth below.
2
PID#: 2643-212-00-851
Case #: SP00-19
APPLICANT APPROVED on ___________________.
Applicant’s Title: _______________________________
Applicant’s Printed Full Name: ____________________
Applicant’s Signature: ___________________________
APPROVED by the Pitkin County Community Development Department on
________________.
______________________________
Cindy Houben, Director
Pitkin County Community Development
APPROVED by the Pitkin County Sheriff’s Office on ________________.
_______________________________
Alex Burchetta, Chief Deputy of Operations
Pitkin County Sheriff’s Office
3
PID#: 2643-212-00-851
Case #: SP00-19
1) GENERAL
a) This application was referred to: Pitkin County Sheriff’s Office, Aspen Ambulance
District, Aspen Fire Protection District, Pitkin County Engineer, Pitkin County
Environmental Health, Pitkin County Chief Building Official, City of Aspen (COA),
Colorado Department of Public Health and Environment (CDPHE), and Brush Creek
Metro District. Comments were received from COA, CDPHE, Pitkin County Chief
Building Official, and Brush Creek Metro District.
2) SAFETY/SECURITY/EMERGENCY SERVICES
a) Safety/Security Plan: The FarmPark (Cozy Point) has numerous exits and will have onsite
staff announce emergency plan over speakers should the need to alert all event attendees
arise. All staff members will be available to contact the appropriate authorities should a
safety issue occur.
b) Onsite security staff member Gabe Riley, FarmPark & Orchard Manager can be reached at
970-948-1714.
c) Medical & Emergency Plan: All staff members will be available to contact the appropriate
authorities should a medical issue occur. Medically certified staff will be onsite for minor
incidents. If a serious medical incident occurs EMT will be contacted.
d) Medical Contacts: Onsite medical point of contact Dr. William Mitchell Jr, MD practices
through Aspen Pediatrics and can be reached at 970-544-1300. Another onsite medical
point of contact Lisa Kohlhepp, Program Director can be reached at 970-485-5637. She is
the interim CPR contact onsite as well.
3) ALCOHOL
a) No alcohol will be served at this event.
4) TRAFFIC/TRANSPORTATION/PARKING
a) Applicant will provide parking onsite for approximately 200 vehicles and will encourage
carpooling.
b) No parking is allowed on Juniper Hill Road or Highway 82. Cones and temporary signage
shall be placed along Juniper Hill Road to prevent parking on the road. This restriction
shall be specified on all signs, flyers and emails for the event.
4
PID#: 2643-212-00-851
Case #: SP00-19
c) Jakob Moe, Cozy Point Ranch Manager will oversee parking during the event and can be
reached at 970-315-2140. There are two areas accessed from Juniper Hill Road that can be
used for parking. Mr. Moe will direct the public to use the second lot for event parking. If
the parking lot capacity is full on the second lot, the first lot will be utilized for parking as
well.
d) Brush Creek Metro District expressed concerns with the intersection of Juniper Hill Road
and Highway 82, and with management of a secondary Ranch access point off of Highway
82 during the event.
e) The Applicant shall place signs and ensure that there is no vehicular access during the event
from the secondary Ranch access point off of Highway 82.
5) SANITATION/SOLID WASTE/RECYCLING
a) Applicant has contracted and committed to providing two portable toilets and two
handwashing stations, which meet requirements for this event.
b) Water will be available to the public from water dispensers filled onsite.
c) Applicant has contracted with Mountain Waste and Recycle for trash, recycling and
composting year round at the FarmPark (Cozy Point).
6) FOOD SERVICE
a) No food will be served at the event.
b) Per CDPHE no food permit is required for this event.
c) CDPHE expressed concern with raw eggs at the event. Raw eggs shall be stored at or below
45 degrees should anyone want to take the eggs home to cook them. A fully intact-shelled
hard-boiled egg that has been air-cooled does not need temperature control for safety.
7) NOISE
a) Applicant will comply with the applicable Pitkin County noise regulations that limits noise
to 55 dBA during the day (7:00AM to 7:00PM) measured at the property line. Per Pitkin
County Environmental Health no noise variance is needed for this event.
8) TEMPORARY STRUCTURES
5
PID#: 2643-212-00-851
Case #: SP00-19
a) No tents or canopies will be erected for the event; therefore, no permit is required.
9) ACCESSIBILITY
a) The FarmPark at (Cozy Point Ranch) is accessible to all, including ADA accessibility.
10) RISK MANAGEMENT
a) Pitkin County Community Development received a Certificate of Insurance on April 9,
2019, from the Applicant, demonstrating adequate General Liability Coverage acceptable
to the standards of the Risk Manager (and naming Pitkin County as an Additional
Insured).
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 1/12
Print
Name of Event*
Earth Day / Easter Celebration
Specific Location(s)*
The Farm Collaborative
Brief Description*
We are hosting a free public event at the FarmPark to celebrate Earth Day with an all natural Easter Egg Hunt, Earth Day
crafts and activities. We will welcome spring and all the new baby animals to the Farm. FREE and OPEN to the PUBLIC
Event Date & Time - 1 day up to 3 continuous days Special Event*
—
Please state the start/setup times and end/cleanup times for your event
Event Date & Time - 2 day Special Event
—
Use these date & time fields if your event is on two discontinuous dates (please include start/setup times &
end/cleanup times)
Event Date & Time - 3 day Special Event
—
Use these date & time fields if your event is on three discontinuous dates (please include start/setup times &
end/cleanup times)
Event Date & Time - 4 day Special Event
—
Use these date & time fields if your event is on four discontinuous dates (please include start/setup times &
end/cleanup times)
Administrative Decision No.
XX-20XX
Primary Contact
Special Event Permit Application - Submission #10901
Date Submitted: 4/10/2019
4/21/2019 2:00 PM 4/21/2019 4:30 PM
mm/dd/yyyy hh:mm am/p mm/dd/yyyy hh:mm am/p
mm/dd/yyyy hh:mm am/p mm/dd/yyyy hh:mm am/p
mm/dd/yyyy hh:mm am/p mm/dd/yyyy hh:mm am/p
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 2/12
First Name*
Britta
Last Name*
Gustafson
Address 1
Address 1
Address 2
Address 2
City State Zip
Email Address*
britta@thefarmcollaborative.org
Phone Number*
970-618-8380
Secondary Contact
First Name
Eden
Last Name
Vardy
Email Address
eden@thefarmcollaborative.org
Phone Number
970-379-2323
Public Inquiry Contact
Please note the Name, Email Address, and Phone Number provided will be placed on the public facing Special Events
calendar on specialevents.pitkincounty.com in order to answer public inquiries regarding the event.
First Name
Britta
Last Name
Gustafson
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 3/12
Email Address
britta@thefarmcollaborative.org
Please provide an email address for the public to ask
specific questions about your event
Phone Number
970-618-8380
Please provide a phone number so
the public can reach you for specific
questions about your event
Website Address (optional)
https://thefarmcollaborative.org/
Please provide a website address for your Special Event
so the public can access more information about your
event
Event Details
Expected Attendance Numbers
300 or less
Personnel Numbers
9 staff, 14 volunteers, 4 vendors (8 individual vendor staff)
Staff, volunteers, independent contractors, security,
vendors.
Yes
No
Is the event open to the public?
Yes
No
Are attendees charged a participation fee?
Please list fees
Fee
Event Plans & Logistics
Please submit a detailed drawing or map that accurately depicts the physical layout of the event, activities and services.
Event Site Plan Details
Click here for additional details to include in your Event Site Map
Event Site Plan
No file chosenChoose File
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 4/12
Additional
No file chosenChoose File
Additional
No file chosenChoose File
Communications Plan
We will be in constant communication via text, phone and email prior to the event, text and phone and in person at the event.
Please describe the plan for communications between event host, staff, participants, emergency service providers, and
other event stakeholders. Please enter text in the box or upload document below.
Communications Plan Details
Click here for additional details to include in your Communications Plan
Communications Plan
No file chosenChoose File
Safety & Security
Expected Attendance Capacity
We will have volunteers at the gate entrance to greet guests. and anticipate under 300 guests at any given time.
Please list the attendance capacity for your event and, if necessary, how participant entry will be monitored or restricted.
Safety Plan
All staff members will be available to contact the appropriate authorities should a safety issue occur. We will contact EMT
should there be a medical incident.
Describe in detail the appropriate safety measures you will have in place for the event. Please enter text in the box or
upload document below.
Safety Plan Details
Click here for additional information to include with your Safety Plan
Safety Plan
No file chosenChoose File
Security
A safe and secure environment needs to be provided for your event, a Security Plan is required if alcohol is being served.
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 5/12
Yes
No
Will alcohol be served at your event?
Yes
No
Have you hired a professional security company (bonded/insured) to plan and manage security for your
event?
Security Organization
Organization
Point of Contact
Contact's Name
Phone Number
Phone Number
Email
Email
Security Organization Details
Please describe the number of personnel, times on duty, where they will be in placed on the site plan, and/or any
additional responsibilities.
Yes
No
Will public law enforcement services be requested?
Please explain for what purpose (i.e.: security, traffic control, parking control, etc.) and list dates and times when
officers are needed
Public law enforcement services may be charged out at a rate to be determined in your agreement with the appropriate
Chief of Police or Sheriff. The Chief of Police and/or Sheriff reserve the right to place officers and staff events as deemed
necessary in the best interest of public safety. An application for an agreement with the Police Department and/or
Sheriff's Department will also need to be completed in addition to this Plan.
Onsite Security Contact
Security staff member on site Gabe Riley, FarmPark & Orchard Manager 970-948-1714
Please provide a Security Contact who will be available to public safety officials at all times during your event
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 6/12
Security Plan
The Farm park has numerous exists and we have an onsite OC with speakers should the need to alert all event attendees
arise. All staff members will be available to contact the appropriate authorities should a security issue occur. We will contact
EMT should there be a medical incident.
Please enter text in the box or upload document below describing your security plan.
Security Plan Details
Click here for additional information to include in your Security Plan
Security Plan
No file chosenChoose File
Medical & Emergency Services
A medical and emergency services plan should be developed to adequately prepare for the environment and size of your
event. If you are providing Emergency Medical Services by calling 911 or hiring a professional service you must provide
this plan.
Yes
No
Will emergency medical services be summoned through 911?
Yes
No
Do you intend to have an on site Licensed Professional Emergency Medical Services Provider?
Emergency Medical Service Provider Information
Medical: Dr. William Mitchell Jr, MD on site
Include the Name of Service Provider, Contact Person, Telephone number and Email. Additionally, provide details of
ambulance coverage and/or aid stations. Please enter text in the box or upload document below.
Medical Point of Contact
Lisa Kohlhepp, PROGRAM DIRECTOR CPR and Medial certified on site 970-485-5637
Name and number of the on site staff person designated as the medical point of contact. Medical point of contact person
must have the necessary information and training regarding emergency calls. Identify an area or areas on your event site
plan where ambulances will be stage and/or pick people up.
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 7/12
Medical & Emergency Plan
All staff members will be available to contact the appropriate authorities should a medical issue occur. We have medially
certified staff on hand for minor incidents and we will contact EMT should there be a medical incident.
Please enter text in the box or upload document below describing your medical and emergency plan.
Medical Plan Details
Click here for additional information to include in your Medical Plan
Medical Plan
No file chosenChoose File
Traffic, Transportation & Parking
If your event requires the use of buses, vans or taxis to transport attendees or staff to and from your event
please provide a detailed plan. Your plan should encourage the use of alternate transportation and include
methods for mitigating traffic congestion.
Traffic, Transportation & Parking Plan
We encourage carpooling and have appropriate parking, signage including an overflow parking lot available.
Partnering with Jake Moe, Parks and Open Space Cozy Point who is overseeing the parking.
Please provide a detailed plan including the use of buses, vans or taxis to transport attendees and/or staff to and from
the event site. Please include parking logistics if your event will impact area parking or you will be utilizing specific
parking lots for your event. Enter text in the box or upload document below.
Traffic Plan Details
Click here for additional information to include in your Traffic, Transportation and Parking Plan
Traffic, Transportation & Parking Plan
No file chosenChoose File
Sanitation & Recycling Plan
Proper sanitation and disposal of solid waste garbage is a required part of your event plan. Throughout the duration of
your event, and immediately upon conclusion of the event, the area must be returned to a clean condition.
Yes
No
Do you plan to provide portable restroom facilities at your event?
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 8/12
Yes
No
Will you provide hand washing stations?
If yes, how many?
Please provide a total number of portable toilets and ADA-accessible portable toilets:
Number of Portable Toilets
Portable Restroom Provider
Please provide the 1. Name of Service Provider 2. Point of Contact 3. Contact Information
Waste & Recycling
Mountain Waste & Recycling: We have year round waste and recycling receptacles at the FarmPark.
Proper storage and daily pickup of waste is required due to the wildlife activities in the community and surrounding areas.
Refuse containers must conform to Pitkin County regulations concerning the protection of wildlife. Please describe your
plan for cleanup and removal of recyclable goods, waste and garbage during and after your event. Recycling containers
are available through Pitkin County for your event. Please describe your plan for cleanup and removal of recyclable
goods, waste and garbage during and after your event. Enter text in the box or upload document below.
Waste & Recycling Details
Click here for more information about Waste and Recycling
Sanitation/Recycling Plan
No file chosenChoose File
Liquor License & Alcohol Mitigation Plan
A special event liquor license from the state of Colorado is required if you plan to dispense alcoholic beverages to the
public. If your event involves the sale and/or distribution of alcoholic beverages, please provide an alcohol mitigation plan
and copy of liquor license.
Yes
No
Will your event be selling, distributing or furnishing alchololic beverages?
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 9/12
Alcohol Mitigation Plan
Please enter text in the box or upload document below.
Alcohol Mitigan Plan Details
Click here for additional information regarding Alcohol Mitigation Plans
Alcohol Mitigation Plan
No file chosenChoose File
Liquor License
No file chosenChoose File
Liability Insurance
Liability insurance coverage must be provided for Special Events. If your event includes alcohol, liquor liability coverage
must also be included. Commercial general liability insurance is required in the following minimum amounts: $1,000,000
each occurrence; $2,000,000 aggregate. At least one week prior to the event, a certificate of insurance must be
submitted to the County. The certificate shall name Pitkin County as an additional insured and coverage must be
maintained for the duration of the event including set up and dismantle dates. Please include the following on the
certificate: Pitkin County 530 E. Main St. Aspen, CO 81611
Liability Insurance
No file chosenChoose File
ADA Accessibility Plan
All city, county, state and federal disability access requirements applicable to your event need to be addressed. All
temporary venues, related structures, and outdoor sites for special events shall be accessible to persons with disabilities.
If a portion of the area cannot be made accessible, an alternate area shall be provided with the same activities that are in
the inaccessible area. It cannot, however, be offered only to patrons with disabilities. Disability access may include
parking, restrooms, telephones, clear paths of travel, transportation, signage, accessible vendors and booths. If all areas
are not accessible a map or program must be provided to attendees indicating the accessible restrooms, parking,
telephones, drinking fountains, etc.
Accessibility Plan
The FarmPark is accessible to all.
Please enter text in the box or upload document below.
ADA Details
Click here for more information about ADA requirements
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 10/12
ADA Accessibility Plan
No file chosenChoose File
Additional Permits & Licenses
Depending on the activities and location of your event, additional permits may be required. Please upload additional
permits or licenses in this section.
Yes
No
Does your event take place on Pitkin County Open Space & Trails property?
Use of Pitkin County Open Space & Trails property for events requires approval of a special use permit. Please click
here to download a copy of the application or contact Open Space and Trails at 920-5232 to obtain an application.
Availability of parks should be confirmed prior to submittal of application.
Open Space & Trails Permit
No file chosenChoose File
Yes
No
Will you be erecting a tent or other temporary structures?
Any temporary structure, other than a tent or membrane structure, that covers an area in excess of 200 square feet
that is used or intended to be used for the gathering together of 10 or more persons requires a building permit and
must comply with the IBC. Temporary structures may also include temporary wiring and other fire hazards that are
different from those that are expected in permanent structures. Any electrical wiring in a structure that is open to the
public will require an electrical permit from the building department. Temporary gas heating appliances will require a
permit from the fire marshal.
Party Tent Permit Application
Building Permit Application
Party Tent Permits can be applied for with a Building Permit Application. There is a $150 flat fee for Party Tent Permits.
Permit applications must be submitted 2 weeks prior to the event date(s), or a double fee ($300) will be charged.
Yes
No
Does your event include food concessions or preparation areas?
Yes
No
Will food be served for more than one day?
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 11/12
Special Event Food Permit
Pitkin County Environmental Health Department
Guidelines for food facilities are provided by the Pitkin County Environmental Health Department. These
guidelines should assist you in developing plans for food handling, preparation and distribution in the most
responsible and legal manner. All vendors must hold a current special event license and complete a temporary
event vendor application.
Temporary Food Permit Vendor Application
No file chosenChoose File
If submitting more than one Vendor Application, please
combine into one PDF.
Yes
No
Will goods or services be sold at your event?
Sales Tax and Business License
No file chosenChoose File
Fireworks
Contact your local fire district for permits and assistance. Aspen Fire District - (970) 925-5532 | Basalt Fire District - (970)
704-0675 | Carbondale Fire District - (970) 963-2491
Additional Information
Please provide any additional information in the text box, or upload supplementary documents as necessary below.
Additional Documents
No file chosenChoose File
Additional Documents
No file chosenChoose File
Additional Documents
No file chosenChoose File
Additional Documents
No file chosenChoose File
Internal Review
4/11/2019 https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901
https://pitkincounty.com/Admin/FormCenter/Submissions/Print/10901 12/12
Pitkin County Sheriff's Office
Aspen Ambulance District
Aspen Fire
Aspen Special Events
Aspen Police Department
Pitkin County Clerk
City of Aspen Parking (Intercept)
USFS
Pitkin County Open Space & Trails
Pitkin County Environmental Health
Pitkin County Engineer
Pitkin County Director of Public Works
RFTA
CDPHE
Agencies To Review
Sheriff's Office
Application comments and permit conditions
Approved
Denied
Need more information
Determination
Aspen Ambulance
Application comments and permit conditions
Approved
Denied
Need more information
Determination
Environmental Health
Application comments and permit conditions
Additional Comments
4/9/2019 EarthDay19inviteFrontLayer.jpg
https://mail.google.com/mail/u/0/#label/Special+Events+-+Civic+Plus%2FEarth+Day+Celebration%2FNatural+Easter+Egg+Hunt/FMfcgxwBWTHnjwn…1/1
4/9/2019 The Farm Collaborative Earth Day Event locations.jpg
https://mail.google.com/mail/u/0/#label/Special+Events+-+Civic+Plus%2FEarth+Day+Celebration%2FNatural+Easter+Egg+Hunt/FMfcgxwBWTHnjwn…1/1
4/18/2019 Common Checkout Payment Receipt
https://securecheckout.cdc.nicusa.com/CheckOut/Receipt?mode=print 1/2
Payment Receipt Confirmation
Your payment was successfully processed.
The following amounts will be remitted back to the agency.
This online service is provided by a 3rd party working in partnership with the state of Colorado. The price includes
a service fee of $.75 plus 2.25% of the order total for credit card payments or $1 for electronic check payments.
Customer Information
Customer Name
Company Name
Local Reference ID
Eden Vardy
Aspen Tree
B4B9358F4B876C1DB
C95E4A8C74C042D
Receipt Date
Receipt Time
4/18/2019
09:37:48 AM MDT
Payment Info
Transaction Summary
Receipt Confirmation
Description Amount
Pitkin County Community Development Transaction $650.00
Service Fee $15.39
TOTAL $665.39
Transaction Detail
SKU Description Unit Price Quantity Amount
PSPE Pitkin County Special Event Permit $650.00 1 $650.00
Service Fee $15.39 $15.39
Total $665.39
4/18/2019 Common Checkout Payment Receipt
https://securecheckout.cdc.nicusa.com/CheckOut/Receipt?mode=print 2/2
Payment Type
Credit Card Type
Credit Card
VISA
Credit Card Num…
Order ID
Name on Credit …
******0319
106824394
Eden Vardy
Billing Information
Billing Address
Billing City, State
ZIP/Postal Code
Country
PO Box 8064
Aspen, CO
81612
US
Phone Number
Email Address
9709873066
This receipt has been emailed to
the address below.
eray@eminsulators.com
Permit Receipt
Date:Name:
Project Address:
4/18/2019
Permit Number Fee Description Amount
chargeType:# 106824394
RECEIPT NUMBER 00045768
220 JUNIPER HILL DR
Eden Vardy
PITKIN COUNTY COMMUNITY DEVELOPMENT
0008.2019.PSPE PP- Special Event Flat Fee 650.00
650.00Total:
Date:ȱ04/17/2019
CommunityȱDevelopment
530ȱEȱMainȱSt.CaseȱNumber SP008Ȭ19
Suiteȱ#205 PIDȱ 2643Ȭ212Ȭ00Ȭ851
Aspen,ȱCOȱȱ81611 ȱ
970Ȭ920Ȭ5109
To:
Aspen,ȱCOȱ81612
Hours Date UnitȱPrice LineȱTotal
6.00 4/17/2019 650.00ȱȱȱȱȱȱȱȱȱȱȱȱȱȱ 650.00ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ
Subtotal 650.00$ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ
SalesȱTax
Total 650.00$ȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱȱ
ToȱProcessȱaȱcreditȱcardȱuseȱtheȱfollowingȱinformation:
CaseȱNumber:ȱ0008.2019.PSPE
RepresentativeȱCompanyȱName:ȱBrittaȱGustafson
CaseȱAddress:ȱȱ220ȱJuniperȱHillȱDr
Price:ȱ$650.00
HaleneȱBurklow
PaymentȱTerms
Dueȱuponȱreceipt
Invoice
BrittaȱGustafson
POȱBoxȱ8064
PlanningȱFlatȱFee
EarthȱDay/EasterȱCelebrationȱTemporaryȱ
CommercialȱUse/SpecialȱEventȱPermitȱ
Applicant/Description
EarthȱDay/EasterȱCelebrationȱTemporaryȱCommercialȱUse/SpecialȱEventȱPermitȱ
MakeȱallȱchecksȱpayableȱtoȱPitkinȱCountyȱTreasurerȱorȱwithȱaȱcreditȱcardȱforȱpaymentȱtoȱ
https://www.colorado.gov/payment/pitcocomdev
Thankȱyouȱ!
530ȱEȱMainȱSt.,ȱSuiteȱ205,ȱAspen,ȱCOȱȱ81611