HomeMy WebLinkAboutpitkin.bldg.273514201006130 S. Galena ASPEN 4~ PITKIN COMMUNITY DEVELOPMENT DEPARTMENT
Aspen, CO 81611
970/920-5090 f ............. -~. PERMIT AppLICATION
920-5448 Inspection Pine ITKIN Cl F ASPEN PERMIT No.
Applicant to complete numbered spaces only.
JOB ADDRESS
3. ,~..__~ _ ..~~~ .~_~. ¢""'~?~'--~-'~ PHONE
CONTRACTOR MAILA~DDRESS ~.~ ,~ PHONE LICENSE NO
ARCHITECT OR ENGINE RECORD ~:~~~~~ ~,~/(~ ~
5 . MAIL ADDRESS PHONE LICENSE NO
DESIGNER
6. MAILADDRESS PHONE
[] ALTERATION
CLASS OF WORK
[] NEW [] ADDITION
USE OF BUILDING
8.
VALUATION ~ ( SQUARE FOOTAGE
9. $
lo.
1 1. Is there food service in this building [] YES.,~O
12. Is LPG used? [] YES~;~O
13. Parcel ID #
14. Remarks
PRESUBMITTAL
DATE DATE
APPLICATION ACCEPTED
PLANS CHECKED I APPROVED FOR ISSUANCI
DATE DATE
NOTICE
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 180 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT
ANY TIME AFTER WORK 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 TO VIOLATE OR CANCEL THE PRO-
VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION
OR THE PERFORMANCE OF CONSTRUCTION. IT IS MY RESPONSIBILITY TO
REVIEW THE APPROVED PLANS AND ANY COMMENTS THAT ARE CONTAINED
THEREON AND SEE THAT THE STRUCTURE AND/OR PROJECT IS BUILT IN
COMPLIANCE WITH ALL APPLICABLE CODES
-'
S IG[~'~'U R E O ~,,~RAu-~O~' ..... / (DATE)
SIGNATURE OF OWNER CF OWNER BUILDERI
(DATE)
THIS FORM IS A PERMIT ONLY WHEN VALIDATED
General
Permit
FEE ~
I PERMIT FEE
Type of Construction / Occupancy Group
t No. Sto ,ee
BD
CO_
DE
FD
FN
MH
MS
LICEN~ ~
Lot Area
Ccc. Load
I R
re Sprinklers Required? i'lyes []No
Alarm SystemRequired? r-]yes ~'qNo
NO. OF BEDROOMS / Use Zone
EXISTING ADDED
NO. of Dwetling Units I OFFSTREET PARKING SPACES
._.~ered Ln ...... d
~R~
H.RC. ' ~
PARK DEDICATION
ENVIRO. HEALTH
ENGINEERING
PARKS
FIRE MARSHAL
WATER TAP
ASPEN CONSOL. SANDIS%
OTHER
DATE
PAYMENT OF PITKIN COUNTY USE TAX
[] MONTHLY OR QUARTERLY RETURNS WILL BE SUBMI~ED.
[] DEPOSIT METHOD 0.5 % OF 25% OF THE PERMIT VALUATION PAID
AT ISSUANCE. A FINAL REPORT ON TOTAL ACTUAL COST MUST
BE FILED WITHIN 90 DAYS OF SUBSTANTIAL COMPLETION OF
WORK AND / OR ISSUANCE OF THE CERTIFICATE OF OCCUPANCY
[] EXEMPT: EXEMPT ORGANIZATIOk'
[] RESALE: STATE & PITKIN COUNTRY RESALE NO.
ANYONE WHO USES AND / OR CONSUMES BUILDING MATERIALS AND FIXTURES IN
PITKIN COUNTY IS SUBJECT TO THE 0.5% USE TAX.
PROPERTY LIENS MAY BE PLACED ON THE OWNER'S AND/OR THE CON-
TRACTOR'S PROPERTY WHEN USE TAX IS NOT PAID
WORK STARTED WITH OUT PERMIT WILL BE DOUBLE FEE
Energy Code Validation Plan Check Validation Zoning Validation
WHITE-FILE C NT
Permit Validation 0.5 % Use Tax Deposit Validation
GOLD-ASSESSOR
LECTRICAL PER
MIT APPLICATIO 3
130 South Galena ASPEN,~,~,,. N
Aspe..co 1611
970 / 920-5090
970 / 920-5448 Inspection Line
PERMIT
JOB ADDRESS (# AND~iN~REE'F) .........
'~ MAILING ADDRES~ ZIP PHONE COLO. LIC.
DESCRIBE
C~SS OF WORK ~ ADDITION ~ ALTERATION ~EW ~ CONSTRUCTION SERVICE ~ OTHER
DESCRIBE WORK IN DETAIL (FOR ADDITIONS, AL~RATIONS, INDICATE ~PE, NUMBER AND LOCATION OF SOURCE OF CIRCUITS:
OWNER/APPLICANT: The undersigned applicant to personally pe~orm electrical work on the described properly or residence hereby cavities, as a condition of
~ssuance of such permit, that the above described prope~y or residence is owned by the applicant: that the applicant is not engaged in the business of construction or
remodeling: and such properly is not intended for sale or resale, nor is it rental prope~y (occupied or to be occupied by tenants, whether transient or permanent), nor
will it be generally 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 pur-
suant to the provisions of C.R.S. Section 12-23-111 (2) (as amended), and that failure to comply herewith will be grounds for revocation of the electrical permit or any
cedificate of occupancy issued with respect to the prope~y or residence described.
Applicant:
Cate:
PAYMENT OF PITKIN COUN~ USE T~ USE T~ PERMIT FEE DOUBL~
DEPOSIT M~HOD: .5% OF 25% OF PERMIT VALUATION PAID NOW AT ISSUANCE. A FINAL REPORT ON
~ TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90 DAYS OF SUBSTANTIAL COMPLY[ON OF APPROVED BY FIRE MARSHALL DATE
WORK AND/OR ISSUANCE OF CERTIFICATE OF OCCUPANCY.
EXEMPT: EXEMPT ORGANI~TJON
RESALE: STATE AND PITKIN
APPROVED BY HPC DATE
ANYONE WHO USES AND/OR CONSUMES MATERIALS AND FIGURES IN PITKIN COUN~ IS SUBJECT TO THE
.5% USE T~.
PROPER~ LIENS MAY BE P~CED ON THE OWNER'S AND/OR THE CONTRACTORS PROPER~ WHEN THE
USE T~ IS NOT PAID.
NOTICE
ARTMENT ACCE~ANCE
the National Electric Code, the Ci~ of Aspen ordinances, and all other county resolutions, city ordi-
nances, state laws, whichever applies. Permit subject to revocation or suspension for violation of ~ ~
any laws governing same. An accepted final electrical inspection shall be obtained prior to using
the electrical system. A fina~ electrical inspection shall be requested within 48 houm after complet- ~ ~ERMIT VALID~ION ~
lng ~ ~tri~, installation. DATE : RECIEPT~ [ TOTAL
FILE GOLD--ASSESSOR
ASPEN IIIPITKIN COMMUNITY DEVELOPMENT DEPARTMENT
130South Galena Street · Aspen, Colorado81611 · ~)70/920-50S0
Inspection
[] STEEL (Rebar)
[] Footings
[] Caissons
[] Wall
[] Wall Cores
[] Struc. Slabs
[] Pads
[] Piers
[] Bond Beam
Accepted ~
[~'~ Reinspection__~ Partial
~~~'NG
u CndeStr. Service [] Underground
rground [] Waste & Vent
Perugh
m. Service
[] Final
[] Bonding
[] Special
BUILDING INSPECTION CHECK LIST
Accepted as Noted []
[] Water Pipe
[] Gas Pipe
[] Gas Tag
[] Final
[] *Fire Sprinklers
Com )lete
[] MECHANICAL
[] Rough
[] Flue(s)
[] Gas Log
[] Combust. Air
[] Ventilation
[] Kitch. Hood
[] Final
[] APECC
[] Foundation Insulation
[] Slab Edge Insulation
[] Insulation
[] Glazing
[] Pool
[] Spa
[] Final
Rejected [] Reinspection Fee $.
[] BUILDING
[] R-Frame
[] Roof Ventilatior
[] Drywall
[] Special
[] Mobile Home
[] Final
[] You are required to make the/o/lowing corrections on the construction which is now in progress..
* Contact Fire Marshal for sprinkler inspection.
Instruction s to Inspector:
DESCRIPTION: Cf Levels
Entry Foyer_ Bedrooms
Media Room Library
Mech. Mud Room
ACCESSORY UNIT: Living
Other:
__ Garage: Attached _ Detached: . Carport
__ Full Bath. 3~4 Baths _. ~ Baths_ Kitchen Dining Living Family/Rec __
Office/Study_ Exercise Room Solarium/Greenhouse Storage Laundry.
__ Sitting Room _ Den Breakfast Nook
Kitchen .. Bath Bedroom
Fireplace: Make:
Gas Appliance: Make:
Gas Log:
Address:. ~(~,_-~-~' ~ ~;~(~-O_~ ~J~. Contact Phone
Subdivision
k~,~~ Request Received, ///X~/~:~
~ D~ / ~ ~ ~ TIME NAME
Contracto( ~~~ ~¢~ ~ Date Insp~~ Inspecto~~
Owner Request for/~ T~ ~ em pm TIME:
independence Press, Inc.
ELECTRICAL PERMIT APPLICATION 3
130 South Galena ASPEN III PIT~I~I~ ~-.AU/~.~_y[~y D~TT~L~):~S~i~~ ~]
Aspen, CO 81611 EPARTMENT
970 / 920-5090 I
970 / 920-5448 Inspection Line PERMIT
JOB ADDRESS (# AND STREET)
ELECTRICAL CONTRACTOR ' ' - _
BUILDING PERMIT ¢ J OCCUPANCY GROUP ¢ ~PE CONSTRUCTION SQUARE FOOTAGE
ELECTRICAL VALUATION
C~SS OF WORK ~ ADDITION U ALTERATION ~NEW ~ CONSTRUCTION SER~'~E ~ CT R
HE~
DES~ ~iN~TAIE (F°R A~DmoNs. ALTERAT,O,s. ,Ne,CATE ~.E,.U~"E~ ~'d;E08AT~O~
OWNER/APPLICANT: The undersigoed applicant to personally pe~orm electrical work on the described prope~y or residence hereby ce~ifies, as a condition of
~ssuance of such permit, that the above described prope~y or residence is owned by the applicant: that the applicant is not engaged in the business of construction or
remodeling: and such prope~y is not intended for sale or resale, nor is it rental prope~y (occupied or to be occupied by tenants, whether transient or permanent), nor
will it be generally 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 pur-
suant to the provisions of C.R.S. S~tion 12-23-111 (2) (as amended), and that failure to comply herewith will be grounds for revocation of the electrical permit or any
ce~ificate of occupancy issued with respect to the p~bpe~y 0r ~esidence described.
Applicant:
Date:
PAYMENT OF PITKIN OOUN~ USE T~ T EXEMPT: EXEMPT ORGANI~TION
~ MONTHLY OR QUARTERLY R~URNS WILL BE SuRMisED
RESALE: STATE & PITKIN ..
~ DEPOSIT M~HOD: 3,5% OF 25% OF PERMIT VALUATION PAID NOW AT ISSUANCE. ANYONE WHO USES AND/OR CONSUMES MATERIALS AND FIGURES IN PITKIN C0UN~
A FINAL REPORT ON TOTAL ACTUAL MATERIALS COsT MusT BE F~EED WITHi~ 90 DAYS IS SUBJECT TO THE 3.5% USE T~.
OF SUBSTANTIAL COMPL~ION OF WORK AND/OR I~UANCE OF CERTiFicATE PROPER~ LIENS MAY BE P~CED ON THE OWNER'S AND OR THE CONTRACTOR'~
OCCUPANCY.
PROPER~ WHEN THE USE T~ IS NOT PAID.
"~'ICE REO USET~ PERMIT FEE -DOUBLE
For all work done under this per~,~~ accepts fu respons bility for comp~~ $
the National Electric Code, ~~pen o~i~ces, and all other county ~ons, ci~ ordi_ BUILDING D R
nances, state laws, whiche~ applies. Ze~it~&t to revocation or suspe~or~io~io~ TMENT ACCEPTANCE
t%n~;I;;t% ;;;s%;it%s:~`t-~, ~n~ ele~?~al in%~t,on shall be obt~ncd pri;r t%u~/ APPRO~D BY /~ DA~
lng an el~trioal installation .... ¢~i ~', ~%O~ "' ~OMM~i~=':, ~,"~-
X { / PERMIT VALIDATION
RY--APPUCANT PINK--FILE
GOLD--ASSESSOR
~n, CO 81611 BUILDING PERMIT APPLICATION
5090 ASPEN~I~PITKIN COMMUNITY DEVELOPMENT DEPARTMENT
/~20-5448 InSpection Line PITKIN COUNTy ~ CITY OF ASPEN [] ~
,~¢ Applicant ,o complel; ;~r~'b;;~dT'p:c~es only.
5 · .,~ MAIL ADDRESS PHONE LICENSE NO
ENGINEER
6. MAILADDRESS
PHONE LICENSE NO
CLASS OF WORK
SQUARE FOOTAGE
7. [] NEW []ADDITION,~LTERATION [] REPAIR
8.
USE OF BUILDING
VALUATION OF WORK
11. Is there food service in this building [] YES ~NO--
12. Is LPG used? [] YEsXNO ')
· _ ~( C_ /~t c..._.
13. Remarks ~_. NO. OFBEDROOMS UseZone
General 1
ConstructiOn
Permit
BD
CO_
DE
FD
FN
MH
MS
APPLICATION ACCEPT
NOTICE
........ ~ vE~ ~ ~l,,iL4 OH AiH r,;ONDiTiONiNL5' . ._
THIS PERMIT BECOMES NULL AND VOlD I~-'~'~K OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WTHIN 120/180 DAYS OR IF CON-
STRUCTION OR WORK IS SUSPENDED OR ABA~i~ED FOR A PERIOD
OF 120/180 DAYS ATANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ~LL pROviSiONS OF
LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM-
PLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A
PERMIT DOES NOT PRESUME TO GIVE AUTHORI~ TO VIOLATE OR CAN-
CEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL ~W REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION·
{DATE)
RF
No. of Dwelling Units
Load
Fire Sprinklers Required? E] Yes [] No
Alarm System Required? 13 Yes [3 No
PARK DEDICATION
ENVIRO. HEALTH
ENGINEERING
PARKS
HOUSING
PLANNING
FIRE MARSHAL
WATER TAP
OTHER
cji PAYMENT OF PITKIN COUNTY USE TAX
"~LJMONTHLY OR QUARTERLy RETURNs WILL BE SUBMI'Ff'ED.
E~ DEPOSIT METHOD 3.5 % OF 25% OF THE PERMIT VALUATION PAID
~AT ISSUANCE A FINAL REPORT ON T
· OTAL ACTUAL COST MUST
BE FILED WITH IN 90 DAYS OF SUBSTANTIAL COMPLETION OF
WORK AND / OR ISSUANCE OF THE CERTIFICATE OF OCCUPANC'~
~ EXEMPT: EXEMPT ORGANiZATiON
[] RESALE: STATE & PITKIN COUNTRY RESALE NO.
ANYONE WHO USES AND / OR CONSUMES BUILDING MATERIALS AND FIXTURES IN
PITKIN COUNTY IS SUBJECT TO THE 3.5% USE TAX.
PROPERTY LIENS MAY BE PLACED ON THE OWNER'S AND/OR THE cON:
TRACTOR'S PROPERTY WHEN USE TAX IS NOT PAID
Plan Check V~li~i, on ' ' ' Zoning ValidatiOn .... ~ Permil,.Vai~datior;I -~
. , ,: ! ;'',. ';:, :!.,..':i, .~! . ...... :'1 ~'% '%' 3-5 % Use Tax Deposit Validation
WHITE-FILE COPY CANAR%APPLIOANT PINK-BUILDING DEPARTMENT GO~D-ASSESSOR
130S. Galena PLUMBING PERMIT APPLICATION
Aspen, CO 81611 ASPEN ~ PITKIN COMMUN,IT/Y~ DEVELOPMENT DEPARTMENT
303/920-5440 PITKIN COUNT,~y/~t CITY OFASPEN []
920-5448 Inspection line
JOB ADDRESS i 72i9
LOT NO. I BLK
RCHITECT OR ENGINEER
USE OF BUILDING: --
2
(El SEE ATTACHED SHEET)'
MAIL ADDRESS
ZiP
PHONE
PHONE CITY LICENSE NO. STATE LICENSE NO.
MAIL
PHONE LICENSE NO.
[] NEW [] ADDITION [] ALTERATION [] REPAIR
USE OF BUILDING
Is there a restaurant in this bu ding? YES [] NO []
DESCRIBE WORK:
SPECIAL CONDITIONS: --
APPLICATION ACCEPTED: PLANS CHECKED: I APPROVED FOR ISSUANCE:
Date ~ Date ~
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR iF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD oF 120
DAYS AT ANYTIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOWTHE SAME TO BE TRUE AND CORREC'[ ALL PROVISIONS OF LAWS AND ORDI-
NANCES 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 TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CON-
STRUCTION.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
(DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER)
(DATE)
PERMIT FEES
TYPE OF FIXTURE OR ITEM
Water Closet (Toilet)
Bathtub
Lavatory (Wash Basin)
Shower
Kitchen Sink & Disp.
Dishwasher
Laundry Tray
Clothes Washer
Water Heater M/BTU ea.
FEE
Bar Sink
Drinking Fountain
Floor Sink or Drain
Slop Sink
Gas Systems: # Outlets
Water Piping & Treating Equip.
Bidet
Other
__ Fixture Fee $
P. ermit $
SUB TOTAL $
__ Use Tax $
TOTAL DUE $
SELECTION OF METHOD FOR PAYMENT OF USE TAX ~
[] MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED.
[] DEPOSIT METHOD: 31/2% OF 25% OF PERMIT VALUATION PAID NOW
AT ISSUANCE, FINAL REPORT ON TOTAL ACTUAL MATERIALS COST
MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF WORKi
GENERAL CONTRACTORS CHOOSING THIS METHOD MUST REPORT
AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN
THEIR OWN PERMIT. VALUATION:
E3 EXEMPT: STATE & PITKIN COUNTY RESALE NO.
EXEMPT ORGANIZATION
Permit Validation
31/2% Use Tax Deposit Validation
COPIES: WHITE-FILE YELLOW-APPLiCANT PINK-REPORTS
ELECTRICAL PERMIT APPLICATION
130 South Galena ASPEN ~, PITKIN REGIONAL BUILDING DEPARTMENT
Aspen. CO 81611
303/920-5440 PITKIN COUNTY,/ CITY OF ASPEN E3
303/920-5448 Inspection Line PERMIT NO: 1 ~
JOB ADDRESS (~ and street)
ELECTRICAL CONTRACTOR MAiLiNG ADDRESS
OCCUPANCY GROUP
USE OF lNG ~
PHONE
ZIP PHONE COLO LIC. ~
TYPE OONSTRuOTION SOU. E FOOTAGE
ELECTRICAL VALUAT ON~ (~,
$ 1997
DESCRIBE
CLASS OF WORK ~DDITION E~ ALTERATION [] NEW I~ CONSTRUCTION SERVICE [] OTHER
DESCRIBE WORK IN DETAIL (FOR ADDITIONS, ALTERATIONS, INDICATE TYPE. NUMBER AND LOCATION OF SOURCE OF CIRCUITS):
OWNER/APPLICANT: The undersigned applicant to personally perform electrical work on the describee property or residence hereby certifies, as
a condition of issuance of such permit, that the above described property or residence is owned by the applicant; that the aDPlicanl is not engaged in
the business of construction or remodeling; and such property is not intended for sale or resale, nor is it rental property (OCCUPied or to be occu pied Dy
tenants, whether transient or permanent), nor will it be generally open to the public. It is understood that compliance with these assurances is a cond~-
tion of the issuance of an electrical permit to the applicant pursuant to the provisions of C.R.S. 1983, Section 12~23-111 f2] (as amended), and that fail-
ure [o comply herewith will be grounds for revocation of the electrical permit or any certificate of occupancy issued with respect to tine droderty or resi-
dence described
Applicant:
Date:
PAYMENT OF PITKIN COUNTY USE TAX
Lq MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED.
L3 DEPOSIT METHOD: 3.5% OF 25% OF PERM TVALUATION PAID NOWAT ISSUANCE
A FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90
DAYS OF SUBSTANTIAL COMPLETION OF WORK AND/OR ISSUANCE OF CERTIFICATE
OF OCCUPANC'~!
NOTICE
For all work done under this permit, lhe permittee accepts full responsibility for comphance with the National
Electric Code, the City of Aspen ordinances, and all other county resolutions, city ordinances, state laws.
whichever applies. Permit subject to revocation or Susperlsion for violation of any ~aws governing same. An
accepted final electrical inspection sha~l be obtained prior to using the electrical system. A final electrical in-
spection shall be requested within 48 hours after completing an electrical installation.
Pink-Building De
' ' EXEMPT: EXEMPT ORGANIZATIOiX
RESALE: STATE RESALE NO.
ANYONE WHO USES AND OR CONSUMES MATERIALS AND FIXTURES N PITK N
COUNTY IS SUBJECTTO THE 3.5% USE TAX.
PROPERTY LIENS MAY BE PLACED ON THE OWNER'S AND OR 7HE CONTRACTOR'S
PROPERTYWHENTHE USETAX S NOTPAID
USE TAX PERMIT FEE DOUBLE I
$ $ 9,' &_9_°
BUIL~D~PARTM ENT ACCEPTANCE
L Date
iDATION
j TOTAL
)artment Gold-Assessor
_
ROAD ACCESS/DRIVEWAY PERMIT ~'~ 0,,~. 7
(Permit Fee is $150.) Permit ~ -~"g,~7 .
,~~ ~K~ .~Count) Public Wo'r
~s~ S~D~ S~EO~ CO~ZO~' (303) 920 539~
Property Owner ~ ~~
Owner' s Address ~c~
Location/Address of Property to Be Accessed
Located on the
from Milepost
side of county Road # , also known as
Road, a distance of feet
" L~... .
Please provide the following information:
Construction to begin on (date) ~P
Is there an existing access? YE~
Do other roads/easements abut property?
For agricultural access, how many acres?
For residgntial .access, ~flp~e/number dwelling units
.... '-/ S,A~_ ..~'~ ,~.~_~
For commercial, ~umbe~/sq.ft. of businesses ~/~
Number of cars and/or trucks per day on access
Included with this application will be the following documents:
Driveway plan/profile Drainage plan w/County Rd. shown
1041 approvals/conditions....4~4 Legal description/parcel ID
Conditions/Provisions:
App 1 icant. -
APproVed
tfitk~n/C~ount~ P~lic Works
Approved B~
~ength of //tkin _~^ty_~ ~ .nity DeVper~it:P~ Cobh C~m~u
TRIS PERMIT MUST BE/KEF
Date:
Length
r ON SITE AT ALL TIMES
ASPENi!IPITKIN COMMUNITY DEVELOPMENT DEPARTMENT
Inspection
[] STEEL (REBAR)
Footings
Cassions
Wall
Wall Cores
Struc. Slabs
Pads
Piers
Bond Beam
130 South Galena
Reinspecti0n
~ [] ELECTRIC
Constr. Service
Underground
Rough
Perm. Service
Final
Bonding
Special
Aspen, Colorado 8161 I
970/920-5090
BUILDING INSPECTION CHECK LIST
Partial
Comp ere
[] PLUMBING
Underground
Waste & Vent
Water Pipe
Gas Pipe
Final
*Fire Sprinklers
[] MECHANICAL
E~'BUILDING
Rough
Flue(s)
Gas Log
Combust. Air
Ventilation
Kitch. Hood
Final
Accepted [] Accepted as Noted_~ Rejected [] Reinspection Fee $
[] You are required to make the following corrections on the construction which is now in progress.
* Contact Fire Marshal for sprinkler inspection.
R-Frame
Insulation
Drywall
Special
Mobile Home
Final
'- -:, ............... occupancy or use
f- t e
Instructions to Inspector:
DESCRIPTION: Cf Levels Garage: Att. Det. Carport_ Decks
Entry Foyer .. Bedrooms Full Baths 3/4 Baths 1/2 Baths Kitchen Dining _. Living Family/Rec.
Media Room Library__ Office/Study Exercise Rm.__ Solarium/Greenhouse Storage _ Laundry Mech.
Mud Room __ Sitting Room Den Breakfast Nook
Other:
Fireplace:
Address
Subdivision
Contractor
Owner
Independence Press, linc.
Make Model Cf Gas Appliance: Make Model Cf
c~'~-~)~-- ~>'~~-~,~L ~¢E-%;~~Contac, Phone
_
Request ,ec'd
Request f%~~ TH F~
~¢'""¢~ ~ Date Ins,~ InspectS%//[/ .
Rev. 2/95
ASPENi~PITKIN COMMUNITY DEVELOPMENT DEPARTMENT
130 South Galena Aspen, Colorado 8161 I 970/920-5090
/,/- BUILDING INSPECTION CHECK, LIST
[] STEEL (REBAR) [~ELECTRIC [] PLUMBING [] MECHANICAL [] BUILDING
Footings Constr. Service Underground. Rough R-Frame
Cassions Underground Wast/e~ Vent
Flue(s)
Insulation
Wall Rough ,/~ter Pipe Gas Log Drywall
Wall Cores Perm. Service _~" Gas Pipe Combust. Air Special
Struc. Slabs Final'/ Final Ventilation Mobile Home
Pads Bonding *Fire Sprinklers Kitch. Hood Final
Piers Special Final
Bond Beam
Accepted"~ Accepted as Noted [] Rejected [] Reinspection Fee $
[] You are required to make the fo/lowing corrections on the construction which is now in progress.
* Contact Fire Marshal for sprinkler inspection.
Instructions to inspector:
DESCRIPTION: # Levels Garage: Att. Der. Carport Decks
Entry Foyer Bedrooms Full Baths 3/4 Baths 1/2 Baths Kitchen Dining __ Living __
Media Room Library Office/Study Exercise Rm. Solarium/Greenhouse Storage
Mud Room Sitting Room Den Breakfast Nook__
Other:
Family/Rec
Laundry Mech.
Fireplace:
Address
Subdivision
Contractor
Owner
Independence Press, Inc.
Make
Gas Appliance: Make Model #
Contact Phone ?'--~ ~-~"-'--~/~ 7 ---- /'
Date Insp~~spec,o~ /
ASPEN4~PITKIN REGIONAL BUILDING OEPAR~MEN~
PITKIN COUNTY [] CITY OF ASPEN [] .~' -- ~- 7 4 0 0 5
, ~ ~ BLK / TRACT/' . ~/ ....... ' ........... "(E3 SEE AFl'ACHED SHEET)
~ ~ ~ 'LICENSE NO.
ARCHITECT ~ ENGI~ER .... MAIL ADDRES~ PHONE
USE OF BUILDING ~ ....... ~ ...................................... ' ....................... '
DESCRIBE WORK: ' '
.~~- PERM IT FEES
No. Type of Equipment Fee
SPE~AL CONDITIONS: ....... / ~ ~
~ ~"~ ' ~~ ~ ~ ~ [~ ~ AirhandlingUnit~ ~ C.F.M.
~~ ~ ~A Evap°rative C°0'ers
~:,:,: "~A~ION ACCEPTED: PL~~ ~ ~ ~ FOR IS~ ~ Range Hood
_ Other
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHOR ZED IS NeT COMM~'CED'WiTHIN 120 DAYS, OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ANBANDONED FOR A PERIOD OF .... PERBiT ..... $
120 DAYS AT ANY TI~E AF¢~'Wb~'~'}S'~o~M~NOED;'' ' ............. ~
GOVERNING TH S ~p~O~W~R~ WfEL BE C~PL'iED' WITH WHETHER SPECIFIED
HERE ~ OR NOT. THE GRA~TING O~A PERMI'T bOE~~'~¢~¢~R~0*~'~T~'~'G'i~E''~':* SELECTION OF METHOD FOB PAYMENT OF USE TAX
THORITY TO VIOL~ 0R CANCEL ~'~R~I~I~SOffAN~ O~A'~YA~'E ~''E~OCAE '
LAW REGULATJ~¢CONSTRUOT ON OR THE PERFORMANC'E'OF CO~~0~'ION:'' ~ MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED.
/ ~~ ISSUANCE. FINAL REPORT ON TOTAC AC~0~L'MATERIALS COST
, ~/~ -- ~ MUST BE FILED wITHIN gO'DAYS AFTER COMPLETION OF WORK.
A O~ ~O~TRAC¢OR OR AUTHORIZED AGENT ' (DATE) AND REMIT TAX
THEIR OWN PERMIT.
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) ~ EXEMPT: STATE & P TK N COUNTY RESALE NO.
~ EXEMPT ORGANIZATION
Permit Validation
COPIES: WHITE--INSPECTOR YELLOW--APPLICANT PINK--FILE GOLD--FINANCE
PLUMBING . PERMIT APPLICATION
ASPEN ~1~ PlTKIN REGIONAL BU ED
PITKIN COUNTY~ CITY OF ASPEN []
/
OWNER M'A/L ~DDREsS ....... ................ Z[~5 PHONE
CON.ACTOR ~ / ~ MAIL ADDRESS '~' ~ CI~E~ENSE'NO, - STA~LI~ENSENO,
ARCHITECT OR ENGINEER LICENSE NO. / MAIL ADDRESS PHONE
USEOFBUILDING:~/~ ~ ~ [ ~ "-BUfLDINGPERMIT¢
CLASS OFWORK: ~ NEW ~ADDITION ~ERATION ~ REPAirS there a restaura~
. building?
DESCRIBEWORK: ' PERMIT FEE8
Water Closet (Toilet)
Lavatory (Wash Basin)
Shower
Kitchen Sink & Disp.
Dishwasher
SPECIAL CONDITIONS: Laundry Tray
Clothes Washer
Water Heater M/BTU ea.
Urinal
Drinking Fountain
Floor Sink or Drain
APPLICATION ACCEPTED: PLANS CHECKED: APPROVED FOR ISSUANCE: Slop Sink~
By By~ By ~'~ '~ ,' / Gas Systems: ¢ Outlets f
Date ~ Date~
~OTI¢ '~ / / j ~ Other
TH S PERM T BECOMES NULCAND VOID IF WORK O.R-CCNS~RUCT]ON_
AUTHORIZED IS NOT COMMENCED WITHIN 120 ~Ays OR IF CONSTRUC-
TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD 0F 120 I
DAYS AT ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOWTHE SAME TO BE TRUE AND CORRE~. ALL ~Rb~'I~I~N~,OF ~.~'~b'f: - USE TAX $
NANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A pERMIT DOES NOT'PRE~u~T0
GIVE AUTHORI~ TO ~IOLATE OR CANCEL THE pROVlSION~ O~AN~ O~HER ~TATE ' PERMIT
OR LOCAL LAW~E¢~LATING~CONSTRUCTION OR THE PERFORMANCE OF CON- TOTAL FEE $
STRUCTiO:~ //~-
D MONTHLY OR QUARTERLY RETURNS W LL BE SUBMI~ED.
~ ~ DEPOSIT METHOD: 3% OF 25% OF PERMIT VALUATION PAID NOW AT
S~G~ATUhE O~ CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST
MUST BE FILED WITHIN 90 DAYS A~ER COMPLETION OF WORK.
GENERAL CONTRACTORS CHOOSING THIS METHOD MUST REPORT
AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN
SIGNATURE OF OWNER (IF OWNER BUILDER) (DAT~ .... THEIR OWN PERMIT,
O EXEMPT:STATE & PITKIN COUN~ RESALE NO.
EXEMPT ORGANIZATION
3%Use Tax Deposit Validation
~°" '-~ ~-~ ~ ~,,,~.¢, ~ L.gCLP..~: WHITE-INSPECTOR YELLOW-APPLICANT PINK-FILE GOLD-FINANCE
(4/(:,5) 2 B.I. BUILDING INSPECTION DEPARTMENT
E~] Cl"[,~F ASPEN- COUNTY OF 'pjTKiN~'A"~OLORADO
ADDRESS / . /~ GENERAL
-F jOB ' ~ ~ / ~' // . , V J. CONSTRUCTION
CLASS OF WORK: NEW ~ ADDITION C] A~TE~B~ION,..~ ............. ,~RE~A~!~.,,~R.r~ MOVE [] WRECK
NAME j~/_~.~,,/. ~/_~~~ ADDRESS PHONE
. __/~~ LICENSE .
~ NAME (AS LICENSED) CLASS NUMBER
~ ~ ~ INSURANCE
~ ADDRESS PHONE
Z
O SUPERVISOR
~ FOR THIS JOB NAME DATE CERTIFIED
DESCRIPTION LOT NO. /~' BLOCK NO. / ADDITION
SURVEY~ AYf~C~D"~ DESIGN .... / ~ uc.
I
AREA (S.F.) HEIGHT NO. . TOTAL OCCUPANCY
AT GRADE (FEET) STORIES UNITS GROUP DIV.
UNFIN. Q DOUBLE ~DETACHED O ROOMS j~ CONSTR.
AUTHORIZED
DEPTH FI RST SIZE SPACING SPAN AG E N CY DA TE
REVIEW
FOOTING CEILING
U'
~s'y ~ / ~
SLAB & GR. BEAMS u MATERIAL ,
MASONRY ABOVE ABOVE ......... ABo0E ENGINEERING
EXTERIOR TmCKNESS ~ST FLR. 2ND FLR. 3RD FLR.'
WALL STUD SIZE ABOVE ,/. /, -- ABOVE ABOVE
N~T~S T~ A~LICANT:
Fo~ ~NS~ECT~ONS OR ~NFO~AT~ON CALL ~25- 7,~
FO~ ALL WOrK DONE UNDE~ T~S P~RM~T THE ~E~TT~E ACCEPTS FULL ~S~ONSmUt~ FOR
COM~UANCE W~TH TH~ UmFO~M ~U~LDm~ cOD~, TH~ cOd'NT~ z6Nm~'~'~6[g~ib~ ~'"~ .... VALgASION
zo..~ o,0 .ANC,, A.. ALt 0'H," CoU"Tf"ESOLUT,O.~ O, c T, O,.~N*,gE, S WH'CHEV'" OF WORK $ ~% ~'
APPLIES.
SEPARATE PERMITS MUST BE OBTAINED FOR ELECTRICAL, PLU~BIN~ AND HEATI~, SIG,S, PLAN TOTAL FEE
SWIMMING POOLS AND FENCES.
PERMIT EXPIRES 60 DAYS FROM DATE ISSUED UNLESS WORK !S STARTED. FILED T P
~UIR~ mSP~CT,O.S S.*~ e~ ~J~U~SZ~ ON~ WO~m~ ~*~ m *~V*N~J. OOU~LE CHECK ~ ~ ~.
ALL FINAL INSPE~TIOHS S.ALL BE ~A~E ON ALL ITEMS ~F ~ORK BEFORE OCCUPANCY IS PErmITteD. FEE ~ CASH ~ ~
THIS BUILDING SHALL NOT BE ~CUPIED UNTIL A CERTIFiCaTE 0F ~CU~N~ H~ .B~N IS~?~. ~ BUILDING DEPARTMENT
PERMIT SUBJECT TO REVOCATION OR SUSPENSION FOR VIOLATION.OF ANY LAWS GQyE~!~.~.SA~E.
SIGNATUR~~ ~
APPLICANT: ~ ~ ~ ~- ,
THIS FORM IS ER ONLY ..t~" PERMIT NO. LICENSE ~ RECEIPTS CLASS AMOUNT
INSPECTOR'S COPy