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HomeMy WebLinkAboutpitkin.bldg.264929102014DOCUMENT LAYOUT Certificate of Occupancy or Letter of Completion (most recent project) Permits Final Inspections Any Supporting Documents Site Plans (no architectural plans) If there are previous projects they will follow in the same order. .~>;' Use Classification: Single Family Residence . Building Permit: 3-18 Legal Description: LotTR 32, Swiss Village Subdivision Building Address: 0240 Ute Trail, Carbondale, CO.81623 "' . .:,,; , Owner of Building: Jerry Berg 3 Owner Address: Box 2001, Aspen, CO.81612 Group: R-3 Type Construction: V-N Use Zone: R-15 Description: 304 squaze feet added. Home now includes three %'''->` bedrooms, two full baths, one kitchen, one living room, one ^~' laundry, one mechanical room and a one caz attached gazage. `-"'"" ,,,-,m;; Comments & t ' '" One wood stove in stone fireplace. '"~5k~' ~0 7' ~t ''' A'' Chief Building O cial D e i ;Yh~ Note: In all occupancies, exc pt 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 wrttten approval of the Building Official shall _ negate this C.O. and subject it to rewcation. °.~'~ ' .. , ''.-~i. ~ ... ..~*`'::, :'".'~,~','.~ ~" is '~~~: :.;J~:~:;: e,.; y*;.~~ ., T30 S. Galena a~1 BUILDING PERMIT APPLICATI~ General As en, CO 81611 ABPENi, iTKIN REGIONAL BUILDING DEFwFiTMENT Construction - / Permit .pp -, p ,. :, PITKIN COUNTYL~' CITY OFASPEN O ~~ / O A03/9a0nt5o oom lete numbered spaces only No. ( Q ~- JOBADORESS .... LEGAL DESC. Z LOT NO. L~ 2 ~~ J~ BLOCK TRACT OR SUBDrIV'ISI'ON (^ SEE ATTACHED SHEET) ~ I S 5 S /~1( . y ~ ~ OWNER MAIL ADDRESS ZIP PHONE J 3. Derr ~.~ ~~ Zook S!G c2 ~ 3 f 3 CONTRACT R MAIL ADDRESS' PHONE LICENSE NO. a.~Cr ~~ lV~-o~-i, ~s~ ~'oi~ (0~(3 ~ r-~~ ~aSZ ` 63 3 c~ . 20 3a~'" L l ARCHITE TOR DESIGNE,3, MAIL ADDRESS _ PHONE LICENSE NO. 5. ~e%a /L ti ~'~- e>c Z ~6 ~--srl2o l 13 `~ ~2i ENGI EEq~ qIL ADDRESS ~NE LICENSE NO. /` ~~ IJ N ~ s I CLASS OFW ~t>,~*~;7 _ ^ NE D O ' RE FOOTAG~ ZONING FEE ~ CENSUS CODE r A D ALTERATION ^ REPAIR ,0 7 .. a. ~ f k. 7~---__~ `J Ll J '~, USEOF BUILDING ry(~ nne, 9. 1"71 ri<.~Lt, C•tL ~...... LAN CHECK FEE .c/-.,. ~ / PErR~MhI/T F~E'E']I~J'O 3%USETAX DEP. VALUATION OF WORK f ~ ~[. ! V ,O Q ~ ~ ~~ 1\ ~P V Type of Construction k2 // ~ ~ Occupancy Grou = yk / Lot Area Y r v ~ 11. Remarks size of eDlmin y (Total Squar¢ ~tJ O asto rl a s oca Loaa ll 0l'S a.o~ wTh ortl5 ti~ f~" ~ ~ ~ ~ .4 ~ I b U. I Ei Ol, b dlal(~LR- (~ NO. OF BEDROOM Use Zpn Flre Sprinklers R¢qulratl: L f.2 ~ ~ N 7 ~ ~ E%IS7yp(G AD~ED / Y ' -7 ~ _. f ~ ^ Ves C No r yqJ~ ~. ~, No. of w el ling Units D OFFSTREET PARKING SPACES: QM' n JC (' r A ` , C . /v Coveretl Uncovered U ~ ~ , • 1 t ~ t ~ ~ SPECIAL gPPROVAL$ RE D W l ~I' U ED AUTHORIZED BY DATE ~ } ' ' ZONING ~ 6; ~ ~~ Z~ H.PC. FixturerCGUnt: Q.~ ~lJ~ ~ N ~ pgRK DEDICATION r~ kLF f H EALTH EPARTMENT • FIREPLACE PFESUBMITIAL gpMICATIONACCETED p NSC C qPP gNCE ~.a~ e/' BV'~~ ew BV FIRE MARSHAL V .h . "" ` ~ ' ~ 1 ~ KLE R oqT . On T -l I . oq 9 _ P WATE k~l Y ?? ~~ v~ NOTICE ~ OTHER t`X i5~' SEPARATE PERMITS ARE REQUIRED FOR ELECTRIC L PL N ! A , UMBI G, HEATING, VENTILATING OR AIR CONDITIONING . THIS PERMIT BECOMES NULL ANDUOID IF WORK OR CONSTRUCTION SELECTION C~~`J14E OR PAYMENT OF USE TAX AUTHORIZED IS NOT COMMENCED WITHIN 120/180 DAYS, OR 1F COfJ- C ~ MONTHLY USE '~ QUARTERLY ETURNS WILL BE SUBMITTED. STRUCTIONORWORKISSUSPENDEDORABANDON~ED~FOR'A"P~filO~ OF 120/160 DAYS AT ANYTIME AFTER WORK IS COMTv1EN'C~ED' ""~~ " ~ DEPOSIT METHOD~3% OF 25%~OFPERMIT VALUATION P%{fD~NOW I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEDTHIS APPLICATION AND AT ISSUANCE. FINAL F`iEPO'RT ON"TOYAL ACTUAL"~IOIP,TY~RhAyLS KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISION50F"CAWS°AAD COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF ORDINANCES GOVERNING THIS TYPE OF WORK WILL 'BE COMPLTED~WITH WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING ORA PERMITbOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR~ CANCEL THE PROV!$(ONS OF MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEIi- THAT DO NOT OBTAIN THEIR OWN PERMIT. FO ANCE OF CONSTRUCTIO N: \ ~,_ ~ / ^ EXEMPT: STATE &PITKIN COUNTY RESALE NO. ~~ ,s'y~p-+, '~U ~~, EXEMPT ORGANIZATION slcrvgTUeE OF COn~ gcTON OR quTNOe¢EO AGENT ID THIS FORM ISAPERMIT ONLY WHEN VALIDATED. WORK STARTED WITHOUT PERMIT WILL BE DOOBLEFEE SIGNFTURE OF ONNEF IIFGWNER BUILDER 10.AlEl Zoning Validation Plan Check Validation Permit Validation < U 3 % Use Tax Deposit Validation .1,,. n ~ -, ~~ ~ i WHITE-FILE COPY GREEN-FINANCE DEPY' PINK-BUILDING DEPARTryIENT V~LLOW-ASSESSOR GOLD-CUSTOMER _. .... ll-..ntw t3o s. Gale a~ BUILDING PERMIT APPLICATIO!""~ Aspen, CO 81611 gSPEN**. fKIN 'REGIONAL-/BIJIL~ING DEP. .`TMENT ~--X303/920-5440 PITKIN COUNTY (Q CITY OF ASPEN ^ Applicant to complete numbered spaces only. N0. M C- 1 1 ~~ 1 ` ~ r General :onstrlidtion Perm .~ eADDRES~ Z Yo r/t.7 G'- Til}'(. c 1 LEGAL ESC. LOT NO. '? BLOCK TRACT SUBDIVISION ~ /~ 1 ,(^SEE ATTACHED~SFISET{~~"`~ ( ' 2 ~ L~ / W+'~ V J 1 1\~ ~-'. MA~ fiDOREBS - ZIP PHONE OWNER CONTRACTOR - MAIL DDRE L ~UK ~U~2 PHONE ~ LICENSE NO. ~~ ~T J -~ N~-l -~ ~ 4. r J . - ~ .5 -c, ~ 3 20 ESIGNER -~ MAILADDRESS - PHONE LICENSE NO. ARCHITE CT OR D B ,, l ~ 5. /v 'T I ENGINE R•~ MAILADDRESS PHONE LICENSE NO. ~~ s. N CLASS OF WOR~~K.~~ d'ADDITION ^ ALTERATION ^ REPAIR ^ ^ NEW I SQUARE FOOTAGE ZONING FEE ~ --- NSU'S C/O E f `.~! /" r --j`- ~ 1 8 ~ 1 ~ ~ a USE 9F eUILbING e ~ - ~ PLgN CHECK FEE PERMITFEE 3%USE TAX DEP. ~~ A ATI N F W RK V LU O O O Type of Cons ruction Occupancy G1Wp Lot Area 10. $ Zoo - ~ / ~ ~ . / / ~ ~ ~ ~ ~/y / p 11. Remarks (,/"~`^' ~ ` (!"`~- Size of DUI I notal sau a ~cl No. of Stories Occ. Loaf ' "" r' ~ N OF BEDROOMS Use Zone Flre Sprinklers Requiretl: 14 EXISTING D ^Ves ^No ~ No. Of bwellin Units OFFSTREET PARKING SPACES: 1 ~•--- Coveretl Uncoveretl SPECIAL PPROVALG REQUIRED AUTHORIZED BY DATE u.H. ~ 20NI P H.P.C. FI%tUfe QDDnt: PARK DEOIGATION EALTH DEPARTMENT ~'yy. FIREPLAC~ T PI P N APP VE APMILA IONALCE EO LA O a. FIRE MARSHAL av ~ AT aY _ `/'/] 1,y eY _ 6 _ .~ '7\ SPRINKLER ., P E _ __.4~<-.. _ WATER TAP NOTICE OTHEfl SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ELECTION OF METHOD FOR PAYMENT OF USE TAX THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION MONTHLY USE OF QUARTERLY RETURNS WILL BE SUBMITTED ' AUTHORIZED IS NOT COMMENCED WITHIN 120/180 DAYS, OR IF CON- . STRUCTION OR WORKIS SUSPENDED OR ABANDONED•FORAPERIOD ~ DEPOSIT METHOD:3% OF 25% OF PERMIT VALUATION PAID NOW - OF 120/180 DAYS AT ANV TIME AFTER WORK IS COMMENCED. AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF '" KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED-WITH WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONSOF THAT DO NOT OBTAIN THEIR OWN PERMIT. ANV THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- ' F ANCE OF CONS1TRUCTION. ^ EXEMPT: STATE &PITKIN COUNTY RESALE NO. 0 ~'pa ~~t-L~. ~ ~- '~~ EXEMPT ORGANIZATION sG RE OF COrTRnp'~R- rl R Eo ACENT lo^rEl THIS FORM IS A PERMIT ONLY WHEN VALIDATED. WORK STARTED WITHOUT PERMIT WILL BE DOUBLE FEE SIGN4TURE OF IXYNER IIF QWNER &IILOER) GATE) Zoning Valitlation Plan Check Valitlation ~ )p rm Valitlatl 3 % Use Tax Deposit Valitlation 4,./ a.. ' WHITE-FILE COPY GREEN-FINANCE DEPT. PINK-BUILDING DEPAR ENT YELL W-ASSESSOR GOLD-CUSTOMER ~+. _. - - --- PENT ApPLI~ATION BUILDING m Jurisdiction_of ' / / . .. ........ . ... ._ ,..-., .. - ~~~ o lll Applicant to complete numbered spaces only. H ~De ADDR ess _. ... _.... _..- LEGAL CP I LOT NO. SLK TRACT .... .. .. .. ~..~ (\1 (^SEE gTTq CX EO SXEET) qp ` ~ ~ ~ .......:.... ..x:: ., . DES ~ ~ ] C OI_ IL_L, ~ ~^ W1JJ 3 OWNER ••.... MAILADDRESS '."'r` 21P .. ,... PHONC ... '- •~ Y ~-. -- z R.~i~~1~- I- a,~wL.~, oz.yp ~L er~~a;L~ c~ - ~3 qty ~c~z ' CONTRACTOR ~ "'MgICADDRE44 ~"P" PMONe ~~ LICENSCN O . 3 ~~Li= AR CXITECT OR DESIGNER '- MAIL ADDRESS ~ '" °- PRONE- ~- - LIC EN SE'N 0 . ~~~ '~"-" 4 'SLY 'pNy ENGINEER MAILAODRE53 '" "" PRONE - LICENSENp . ': 5 ~[ L~" LENDER • MAIL ADDRESS ~ ~ BRRNCX ~~~'~'~ s ~` ~i -~ ~i~~ ~' - N t ~ 1~ ~ 1 ^~ USE OF BVILOING ,. .... n. ..,M1. n~r...:..v ...:. ,.: s-... -si '- ]v'.YA . M / ~~ 8 Class of work: ^ NEW f~ADDITiON ALTERATION ^ REPAIR ^ MOVE ^ REMOVE ~ 9 Describe work: \ ' '< "'~ - ~ L E 10~ Chang m . .___ _~ .- .~. _..~. ~.va,,.~w,•,.-..H,um ~sr.~ww~,~ar~w'~x ~ Change of use to 11 Valuation of work: $ ob ~ ~OQC~ ~ ~ PERMIT FE G'~ E ~~ ~ o PLAN CHECK FEE ~ SPECIAL CONDITIONS: Type of f / Occupancy ~I " Const. ~/ Group ~ Division Size of Bltl9. ,Z $ No. of Max. tik :... .... __ _ , .~ _' ,__.~ (Total) Sq. FL ~,~.~ Stories /~ Occ. Loatl Ito ~+ Fire _ Use S Fire Sprinklers ~`" fk 4PPLICATION ACCEPTED BY'. PLANS CHECKED BV APP ED FOR ISSUANCE BV. ZOn¢ ZOn¢ RegUlretl ^Ye5 ^NO " NO. of i ~~ OFFST REETPARKING SPACES: ~ ~~ _ ~~~ ~ ~k Dwelling Units,~ Coveretl '!'~ Uncoveretl NOTICE Special Approvals Required Received Not Required `"' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLU - ~~ ZONING -~ S -- VENTILATING OR AIR CONDITIONING. ING HEATING - w , , HEALTH DEPT. ~ - ~ ~ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- } ORiF TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS FIRE DEPT. , , CONSTRUCTION OR WORK IS SUSPENDED OR ABANDON"fD FORA SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME4AF7E`Ff'l?VO`R•K'TS`""C6UI- ` MENCED OTHER (speafy) . 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAMETO BE TRUEANO CORRECT. ALLPROVISIONS OFLAWS AND ORDINANCES GOVERNING THIS SPECrFIED TYPE OF WORK WILL BE COMPLIED WITH WHETN ER _ ~ ~~ - . HEREIN OR NOT, THE GRANTING OF'A PERMIT DOES NOT ' TO VIOLATE OR CANCEL THE PRESUME TO GIVE AUTHO RITY PROVISION50F ANY-OT}1E RSTATE OR LOCAL LAW REGULATING - OR THE PERFORMANCE OF CONSTRUCTION. CONSTRUCTION 'S SIGNATURE OF CONTRACTOR OR PUTXO IZED gGENT IOATEI ~"j ~A ~ 1~ SIGN TV RE OF OW NEk IF OWNER BV IL RI D TE WHEN PROPERLY VALIDATED IIN THIS SPACEI THIS IS YOUR PERMIT "-~"' ~"'"''"-'"" PLAN CHECK VALIDATION cK. M.o. cgsH PERMIT VALIDATION"-~ "`cK ""'rno OABH Form 100.1 rNSPECTOR PLUMBING PERMIT APPLI.CATIO_N PITKIN COUNTY ~% CITY OF ASPEN ^ ~ $ 0 JOB ADDRESS ~~~ ~fG %y'ZI ""' - V LEGAL LOT NO BLK TRACT /~{ ,/// j ~/ /~• (^SEE ATTACHED SHEET) J MAIL AD RESS ~ ~ OWNER J~>~R S~'Rl> p>~ ~ 7"r~r Cdzle ZIP PHONE S'1~23 9i 3 - /`~ CONTRACTOR ~ ~ MAILADDRESS ^/T~~~ :/~'R/!5 9LC~. 392 s ~ ~OS~GfP ~, L.~!/ P~~~-~~~~ LI ~N~Q~ ARCHITECT OR DESIGNER ~y~ ~ MAILADDRESS '/~ ~ PHONE LICENSE NO. ENGINEER MAILADDRESS PHONE LICENSE NO. LENDER MAILADDRESS BRANCH USE OF BUILDING ' Class of Work: ^ NEW ~'j. ADDITION ^ ALTERATION ^ REPAIR Describe work: / /' ~~~ , /' ~~- ~ i! Y~ ~rT I ~ T j` SPECIAL CONDITIONS: PERMIT FEES No. Type of Fixture or Item Fee Water Closet (Toilet) ,Q® Bathtub OQ Lavatory (Wash Basin) , OP APPLICATION ACCEPTED BY: PLANSC ECKED V: APPR V 133 ANCE BV: $hOwBf p2,0~J C Kitchen SinkB Disp. J6 '~ ~ l~ Disnwasner ~ J T NOTICE Laundry ray THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Clothes Washer ,J'JO AUTHORIZED IS NOT COMMENCED WITHIN 120 DAPS;ORIFCONSTRUC-- TION OR ORK IS S S ONE R ' Water Heater M/BTU ea. W U PENDED OR ABAND D FOR A PE IOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Urinal IHEREBYCERTIFYTHATIHAVE READAND EXAMINEDTHISAPPLICATIONAND KNOW ' ' " Drinking Fountaih L AIYSANOORDINANCES OVERN NG THIS TVPEbFCORRECLAYLPROVf3YOIV30F WORK WILL BE COMPLIED WTTHWHETHER~SPEC7FIED' Floor Sink Or Diaih HEREIN OR NOLTHE GRANTING OF A PERMIT DOES`NOT `PRE'SUME"TO GIVE AUTHORITY TO VIOLATE OR CXNCECTHE PROV1910NS OFANV OTHER"STATE 6R Slop Sink LOCAL LAWREGUWTING~CONSTRUCTION'~OR ~'THE~~~PERFORMXNCIiOF CONSTRUCTI N Gas System3:#Outlets . O Water Piping BTrBeting Equip. Waste Interceptor Vacuum Breakers Fan Coil Unit(s) 00 91GIU OF NTfUCTOR OR AVTHORIZED AGENT (OAT ) X 91GNANRE OF OWNER (IF OWNER BUILDER) (DATE) PERMIT $ .`,j,Qa TOTAL FEE $ ~QQ nncn rnurcnL.T vnuuA I cu Urv I nl3 K V DA a ~g M.o. CASH _ ~ .-, ~ .,r d J k I EI CK. M.O. ......,CASH i.~ ~..1'~..~ ~...9 ~ COPIES: WHITE-INSPECTOR YELLOW-APPLICANT PINK-FILE Rye T~Sg ,_ .~ ~,~Au~,l „rw,.,,. PLUMBING PERMIT APPLICATION 2 ~.~+r~w.yw ~,, - ASPEN PITKIN REGIO L BUILDING DEPARTMENT ~, ~ I ~ ~) "1+" sTM"F~ PITKIN COUNT CITY OF ASPEN ^ V mtiara- 5 ` JOB ADDRESS ~.,.,,~..'kd .. ,r v,hrm. ..:._.. LEGAL OESCR. LOT NO. BLK TRACT (I] SEE ATTACHED SHEET) OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR PHONE MAIL ADDRESS CITY LICENSE N0. STATE LICENSE NO. ARCHITECT OR ENGINEER LICENSE NO. MAIL ADDRESS PHONE USE OF BUILDING: BUILDING IT # ~ ` / CLASS ocwoRK~. ^ NEW ^ ADDITION ^ ALTERATION ^ REPAIR USE OF BUILDING DESCRIBE WORK: PERMIT FEES NO. TYPE OF FIXTURE OR ITEM FEE Water Closet (Toilet) Bathtub Z Lavatory (Wash Basin) Shower Kitchen Sink d 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 B B By Gas SYStams: # Outlets y - _-_ y _._.__._____-- _... _._-._ _ _ ____ Water Piping & Treating ip. Date Date Date R I Other V NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NO7 COMMENCED WITHIN 720 DAYS, OR IF CONSTRUC- --~ TION OR WORKIS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIMERFTER WORK IS COMMENCED . I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDI- NANCE5 GOVERNING THIS TYPE OF WORK WILLBE COMPCfEDWITH WHETHER USE TAX $ SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO F ANY OTHER STATE O S PERMIT $ VI IONS O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PR OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCEOF CON TOTAL FEE $ STRUCTION. SELECTION OF METHOD FOR PAYMENT OF USE TAX MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED. DEPOSIT METHOD' 3 % OF 25 % OF PERMIT VALUATION PAID NOW AT SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN N PERMIT O SIGNATURE OF OWNER pF OWNER BUILDERI (DATE) . THEIR W L7 EXEMPT. STATE &PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION Permit Vafitlation 3% Use Tax Deposit Vafitlation COPIES: WHITE-INSPECTOR YELLOW-APPLICANT PINK-FILE GOLD-FINANCE LECTRICAL PERMIT ApPLI~CATl01~~ 130 South Galena ASPEN*PITKIN REGIONAL BUILDING DEPARTMENT ii 03/920-;°aos11 PITKIN COUNTY ~ CITY OF ASPEN ^ PERMIT NO: 3-` JOB ADDRESS (# antl street) C~z Cra. 81623 OWNER REPRESENTATIVE PHONE ~l`err ~Qr R~O3-~y3g ELECTRICA ONTRACTO MAILING ADDRESS "ZIP PHONE COLO. LIC. #, i'Y)~R(c - (,~PSfe~iv F(e~kri i7Q7~", pis C~k:l . 13~sa1{ Co.BIG~i 36Z~ BUILDING PERMIT # OCCUPANCY GROUP VPE CONSTRUCTION ~~(vr~~ SQUARE FOOTAGE r o o d USE OF BUILDING ELECTRICAL VALUATION $ 3000.°~- DESCRIBE - _- CLASS OF WORK ~I ADDITION ^ ALTERATION ^ NEW ^ OTHER DESCRIBE WORK IN DETAIL (FOR ADDITIONS,ALTERATIONS, INDICATE TYPE, NUMBER AND LOCATION OF SOURCE OF CIRCUITS)'' / P ~ ~. OWNER/APPLICANT: The undersigned, applicant ib personally pertorm electrical work on the fdllowingdescribe pioperty 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 applicant 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 occupied by tenants, whether transient or permanent), nor will it be generally open 4o ffie public. If is understood that compliance with these assurances is a condi- tion of the issuance of an electrical permit to the applicant pursuant to the provisions of C.R.S. 1983, Section 12-23-711 (2) (as amended), and that fail- ure to comply herewith will be grounds for revocation of the electrical permit or any certificate of occupancy issued with respect to the property or resi- dence described. ('a n Applicant: 'emu ~O"-~~' Date: `a' ~~ J SELECTION OF METHODPOR PAYMENT OF USE TAX MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED. ^ EXEMPT: STATE 8 PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION ^ DEPOSIT METHOD 3 o OF 25% OF PERMIT VALUATION PAID NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MOST"BE FILED WITHIN 90 DAYS AFTER COMPLETION OF WORK. GENERAL CONTRACTORS CHOOSINGTHIS METHOD MUST REPORT ANO'REMITTAX'FOP ALL SUBCONTRACTORS THATDO NOT OBTAIN THEIR OWN PERMIT. ^ DOUBLE PERMIT FEE NO-~iCt For all work done antler this permit, the permittee accepts full responsibility for compliance with the National Elec[ric Cotle, the City of Aspen oMinances, and all other county resolutions, city ordinances, state laws, whichever applies Permit subject to revo ati i f USE TAX Q ~P PERMIT/FE~E~er ~ ~U - . c on or suspens on or violation of any laws governing same. An acceptetl final electrical inspection shall be obtained prior to using the electrical system. A final electrical in- spection shall be reques[etl within 48 hours aker completing an electrical installation B ILDI DEPA MENT ACCEPTANCE . Approved ate 7ii~' MIT VALIDATION -//~~'/~/~ S` SIGNgTURE OF pppLICANT~O_; ~ DHTE DATE _ RECEIPT# ~ TOTAL $ Q wnne-mspector5 copy Yellow-Assessor's Copy Pink-euiltling Department File Goid-Customer's Copy Green-Finance -, M ~..~.. . ,- y ~^^a ~'"q ELECTRICAL PERMIT 4PPLICA~~ON~ 3 130 South Galena ASPEN*PITKIN REGIONAL BUILDING DEPARTMENT '" " " '_` """""'""' Aspen, CO$t611 PITKIN COUNTY ~ CITY OF ASPEN ^ , 1 7 6 303/920440 PERMIT NO: 3-I JOB ADDRESS (# and street) a.~o ~ ~s'~ - ~'~ ~ t OWNER REPRES NTATIVE PHONE '~~'`~ 9 63 - Q 3 ELECTRICAL CONTR CTOR MAILING A RESS ZIP PHONE COLO. LIC. # ~ ~ ` eEr :t c ~© 6 z ELECTRICAL DESIGNER REPRESENTATIVE PHONE ~ I~~ ~.$ I~ GENERAL CONTRALTO REPRE S EN TAT I P ONE / ~ ~ ~ BUILDINOPERMIT - O/qq/Q~ OCCUPANCY GROUP TY ONSTRUCTION 0~ K/ SOUARE FOOTAGE ' ~ / / ^~ USE OF BUILDING ~ , EL ECTRICAL VALUATION / ~ QQ W DESCRIBE CLASS OF WORK ~ ADDITION ^ ALTERATION ^ NEW ^ OTHER ' SERVICE:. NEW ^ EXIST ^ CHANGE ^ TEMP E wlR s AMPS vd ' # Circuits Feeder S e PANELS: # Circuits Feetler Size # Circuits Feeder Size # CirowtS Feeder Size' p Service Feetlers Branch Circuits 'TYPE WIRING SYSTEM n DESCRIBE WORK IN DETAIL (FOR ADDITIONS ALTERATIONS INDICATE TYPE NUMBER AND LOC T '"' , , , A ION OF SOURCE OF CIRCUITS): ' ~ s d,r> r-o p Is there a restaurant in this ~u O Yes No ~.c_ cL ,c7 ' . SELECTION OF METHOD FOR PAYMENT OF USE TAX MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED , , ^ DEPOSIT METHOD. 3 o OF 25% OF PERMR VALUATION PAID NOW AT ISSUANCE,~~ FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST'BE FILED WITRIN "90 . DAYS AFTER COMPLETION OF WORK GENERAL'CONTRACTORS CHOOSING"THIS ^ EXEMPT: STATE &PITKIN COUNTY RESALE NO. METHOD MUST REPORT AND REMITTAX FOR`ALL SUBOONTRACTORS THAT DO NOT EXEMPT ORGANIZATION OBTAINTHEIR OWN PERMIL. ^ DOUBLE PERMIT FEE NOTICE USE TAX PERMIT FEE For all work tlone under this permit, the permittee accepts Lull responsibility for compliance with the National Electric Cotl th Ci[ of @ e, e y Aspen ordinances, antl all other wunry resolutions, city ordinances, state laws, W ~ ~ Q whichever applies. Permit subject to revocation or suspension for violation of an law g in y s overn g same. An accepted final electrical inspeMion shall be obtainetl prior to using the elecriral system. A final eleptrical in- BU DEPARTMENT ACCEPTANCE spection shall be requestetl within 48 hours drier completing an electrical installation. Ap etl y D 7 a~ ~ i PERMIT VALIDATION 7 DATE REC IPT # TO L - ON SIGNAT RE FAPPLI qN DATE ,~ ~ f ///~~~ ~ ~ ~ ` Q~ ~~ V Y W ~ speurns ropy xenow-Assessor's Gopy Pink-Builtlidg Department File Gold Customer's Copy Green-Finance 14/65) 3 B.1. ~ .,... -~ r x,„,. ,... ....a,.ri.;u°at.. ~ .. .... ......... ,....:: ..~~! BUILDING" 1'NSFECTI~ON w~DEPARTIN fJT _"~' '~ -~~ (CITY Q~"^e~PFU _ rnyruTV nG DI711r1:11~1 nn.nn ~n 1 AAA -~ -- - -.... ..,....1Cy, . .vr.hvv ... 1r ~r7Y ADDRESS ~~~ _ n _ ~~~Ip r„~TG-. OF JOB O O ~ 9 -' '" j r11L,- ELECTRICAL I C X L . f < ' . PE M ~ R IT WHEN SIGNED AND VALIDATED BVBUILDING INSPECTION DEPARTMENT THIS PERMIT AUTHORIZES THE WORK DESCRIBED BE LOW. CLASS OF WORK: NEW ^ ADDITION ~ ALTERATION ^ REPAIR ^ MOVE ^ WRECK ^ OWNER ~ o2yO ~'s6 e (2t-1~E NAME ADDRESS , ~`~, PHONE - °L LICENSE LICENSE ~ NAME (AS LICENSED) S~ r CLASS N l M , .. V U BER ~ .. .._.. Z ADDRESS PHONE u SUPERVISOR FOR THIS JOB NAME ... _., DATE CERTIFIED NO. OF UNITS DESCRIPT ION OF WORK NO. OF UNITS DESCRIPTION OF WORK. TEMPORARY METER TRANSFORMERS & RECTIFIERS NEW SERVICE ENTRANCE WIRING MOTORS & CONTROLS NO AMPS NO OF OIL BURNERS STOKERS, . FORCED AIR SYSTEM. CHANGE SERVIC E ENTRANCE OTHER r ~ N0. AMPS [ ~~ _~_,_ MOTORS i ~ ~ Ct~ H.P. CIRCUITS SIGNS LIGHTING NEON EXT'R SIGN & 1 TRANSFORMER HEATING ~ NEON INT'R SIGN & 1 TRANSFORMER POWER SUB-CIRCUITS ADDITIONAL TRANSFORMERS, EXT OR INT. UTILITY (RANGE DISPOSER , COOLER FAN DRYER WATER HEATER) , , , NO Of INCANDESCENT LIGHTS OTHER FIRE DETECTION-ALARM SYS'M. FIXTURES OTHER REMARKS AGENCY AUTHORIZED , DATE ~/ Y PUBLIC _ B~ vo 00 WORKS NOTES TO APPLICANT: VALUATION FOR INSPECTIONS OR INFORMATION CALL 915-7336 4 ply OF WORK W ~~~ s THE VALUATION OF EACH OF THE ABOVE UNITS SHALL BE INCLUDED IN THE-VALUATION OF 4V0 RK . fOR ALL WORK DONE UNDER THIS PERMIT THE PERMITTEE ACCEPTS FULL RESPONSIBILITY FOR PLAN TOTAL FEE COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE, THE CITT'OF ASPEN ORDINANCES, AND ALL OTHER COUNTY RE SOL UTIONS CITY ORDIN T P FILED ~ ( I ANCES, STATE LAWS WHICHEVER APPLIES. ~ PERMIT SUBJECT TO REVOCATION OR SUSPENSION FOR VIOLATION OF ANY LAWS'GO VERNIAG' S/{'h$E. REQUIRED INSPECTIONS SNALL BE REQUESTED ON~E'N'ORKING DAY 1N ` GOUBLE FFE CHECK ^ /~ I ~..~ ADVA NCE. u, CASH ^ A FINAL INSPECTION SHALL BE MADE BEFORE POWFR ILL BE RELEASED, AND BEF E THE BUILDING M BE OCCUPI D. BUILDING DEPARTMENT SIGNATURE OF ' APPLICANT: -~-<^~~~ ->~ ~ APPRO V4L BY DATE O V N K h Z THIS FORM IS A PERMIT ONLY DATE WHEN VALIDATED HERE ~~ ,~ c_ PERMIT N0. LICENSE N+ RECEIPTS CLASS 4MOUNT /~ 6 ~--~ f/ ,. _~ ~t~? MECHAN SAL PERMIT AP `ICATION 4 ASPEN•PITKIN REGION BUILbING bEP%-R`TMENT PITKIN COUNTY (~ CITY OF ASPEN ^ ~ 1 JOB ADDRESS o G~ e ~ ~ ~~-6 ~ ~~G , v~ ~ ~. LOT NO. BLK TRACT LEGAL ( SEE ATTACHED SHEET) DESC. OWN MAIL ADDRESS ZIP PHONE ~' O ~ ~/ .~- 39 CsONTRA R MAIL AD RESS ' ' _~stL PHONE LICENSE NO. ARCHITECTO N6INEER MAIL ADDRESS PHONE LICENSE NO. USE OF BUILDING d BUILDING PERMIT NQ CLASS OF WORK: Q W A TION ^ ALTERATION ^ REPAIR 8 Yes $UPa:]., 1T3 15 bui3din ~ DESCRIBE WORK: ' e:d... Yes [~ No „~ / Type of Fuel: OII ^ Natural Gas ^ LPG ^ ~ ~~~ ~ / PERMIT FEES I ~ t No. Type of Equipment Fee n ~ Forced Air Systems-Gravity S stems-B T U y . . . . ~® r P Wall, Suspended or Unit Heaters /J, ~ L(~1/ Appliance Vent i ~ ~gp~/~0 ~,~J`~' p Hig., Refrig., Cooling, Absorption Unit , ~(~ .~+-~' d ~'° ~ ~ Repair. Alteraliori or Addition to Existing System SP AL CON ITI ,r - - ~('Y ~ e BoilarS (includes Vent) B.T.II. " Air Handling Unit- C.F.M. 1 ~ r- ~ t / y Evaporative Coolers ~ ~ V Ventilation Fan ~J 6 APPLICATION EPTED: PLANS CHECKED: APPR VE Range HOOd ay ' a Gas piping' y Gas Log or Appliance . __ _ _ bete Dale ele ~ ~ ~ Other NOTICE Plan Review $ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMEN ED WITHIN ~OAYS O ~C C - Permit $ d~ C 180 , R IF ORSTR JC TION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 SUBTOTAL $ ;p9 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Use Tax $ I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TOTAL FEE $ CC THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WRH WHETN~`fl SPECIFIED ELECTION OF METHODFOR PAYMENT OF USE TAX HEREIN OR NOT: THE GRANTING OF A PERMIT DOES NOT PRESUMETO GIVE AUTHOR- ITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANV OTHER STATE OR LOCAL LAW' REGULATING CO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. MONTHLY OR GUARTERLY RETURNS WILL BE SUBMITTED. _ /J ~ ^ DEPOSIT METHOD: 3 % OF 25% OF PERMIT VALUATION PAID NOW AT ,r~1 ~ /. ~1? %~jJ %%~R~~^ ' ISSUANCE. FINAL REPORT ON TOTAL ACTUAL`MATERIALS COST ~ .F. r' ~ 2 ^ t~. s(J MUST BE FILED WITHIN 90 bAYS~AFTER COMPLETION OF WORK S'~GNATUREO ONTRACTOR OR AUTHORIZED AGENT (pgTE) . GENERAL CONTRACTORS CHOOSING THIS"METHOD MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN THEIR OWN PERMIT. ^ EXEMPT: STATE &PITKIN COUNTY RESALE NO SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) . EXEMPT ORGANIZATION rpulu4 vailp<IUVrI ,,_ i.,.~ ~..~.,~~ r i 9 y ; ..> ~' ~' 3 io use Tax Deposit Validation COPIES: WHITE-INSPECTOR YELLOW-APPLICANT PINK-FILE GOLD-FINANCE dk 'I MECHAIAL PERMIT AP~:~'I.ICATION 4 ASPEN*PITKIN REGIONAL BUILDING DEPARTMENT PITKIN COUNTYCITY OF ASPEN ^ Q ~ b i ~~ TRACT MAIL LICENSE sy ^ NEW ^ ADDITION ^ ALTERATION ^ REPAIR Br ~ sr are I Date I Date NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IFCONSTRUC- TION OR WORK IS SUSPENDED OR ANBANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. I HEREBYCERTIFYTHATI HAVE READANDfXAMINEDTHISAPPLICATION AND KNOW THESAMETO BETRUEANDCORRECT.ALL PROVISIONSOFLAWSANDORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT GOES NOT PRESUME TO GIVE AU- THORITYTOVIOLATE OR CANCELTHEPROVISIONS OFANVOTHER STATEOR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) Type of Fuel: Oil ^ Natural Gas C PERMIT FEES No. Type of Equipment Forcetl Air Systems-Gravity Systems-B.T.U. Wall, Suspentletl ar Unit Heaters Appliance Vent Htg., Refrig., Cooling, Absorption Unit Repair, Alteration or Adtlition to Existing Systel Air Handling Unit- Evaporative Coolers Ventilation Fan Range Hood Gas piping' Other C.F.M. PERMIT TOTALFEE Fea SELECTION OF METHOD FOR PAYMENT OF USE TAX ^ MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED. ^ DEPOSIT METHOD: 3% 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 WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBYAIN THEIR OWN PERMIT. ^ EXEMPT: STATE &PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION YeTRllt ValitlatiOn 3% Use Tax Deposit Validation COPIES: WHITE-INSPECTOR VELLOW-APPLICANT PINK-FILE GOLD-FINANCE ~"""*~ ASPEN*PITKIN COMMUNITY DEVELOPMENT DEPARTMENT 930 South Galena Street Aspen,Colorado 89699 970/920 X090 / BUILDING INSPECTION CHECK LIST Inspection / Reinspection Partial Complete Permit No. 3~'~ ^ STEEL (Rebar) ^ ELECTRIC ^ PLUMBING ^ MECHANICAL ^ APECC i~BUILDING ^ Footings ^ Constr.Service ^ Underground ^ Rough ^ Foundationlnsulation ^ R-Frame ^ Caissons ^ Underground ^ Waste & Vent ^ Flue(s) ^ Slab Edge Insulation ^ Roof Ventilation ^ Wall ^ Rough ^ Water Pipe ^ Gas Log ^ Insulation ^ Drywall ^ Wall Cores ^ Perm. Service ^ Gas Pipe ^ Combust. Air ^ Glazing ^ Special ^ Struc. Slabs ^ Final ^ GasTag ^ Ventilation ^ Pool ^ Mobile Home ^ Pads ^ Bonding ^ Final ^ Kitch. Hood ^ Spa ~ Final ^ Piers ^ Special ^ `Fire Sprinklers ^ Final ^ Final ^ ^ Bond Beam ^ ^ ^ ^ ^ Acceded ^ Accepted as Noted f~ Rejected ^ Reinspection Fee $ ~ You are required to make the fo/%wing corrections on the construction which is nowin progress: "Contact Fire Marshal for sprinkler inspection. ~3r ~aa 4ec 109 1 C D Instructions to Inspector: DESCRIPTION: # Levels o2.- Garage: Attached ~ C~._ Detached: Carport Entry Foyer Bedrooms ~ Full Bath ~ '/< Baths Yz Baths _ Kitchen ~ Dining ~ Living ~ Family/Rec _ Media Room_ Library _ Office/Study- Exercise Room_ Solarium/Greenhouse Storage _ Laundry Mech. ~ Mud Room _ Sitting Room _ Den Breakfast Nook ACCESSORY UNIT: Living Kitchen Bath _ Bedroom _ 9 Owner V , Appliance: Make: Gas Log: 3~9-010 Phone r1 (o 3 - Q y 39 Received S• ~ a • 9 ~ ~-~i DA TIM NAME ( for M T W Th F ~~--~pir~~ IM Date Insp. / Spector ~~~2~ Intlepentlence Press, Inc. _ _ _ _ _ _ _,_ t . r_ _~ , _.. _ ----- ~- ASPEN*PITKIN COMMUNITY DEVELOPMENT DEPARTMENT 1 30 South Galena Aspen, Colorado 81 61 1 970/920-5090 / L ~/ BUILDING INSPECTION CHECK LIST ~'/ ~` ~~ ~ / Q /'~. o,,;,,,,,,,,,,,;,,,, Partial Complete Permit No. 3 Jr J IIIJFICGtNn . ^ STEEL (REBAR) ..... ... p,. _.._.. ELECTRIC ^ PLUMBING ,1~MECHANICAL ^ BUILDING Footings Constr. Service Underground Rough R-Frame Cassions Underground Waste & Vent Flue(s) Insulation Wall Rough Water 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 ^ Hemspecnon ree ~ w You are required to make the following corrections on the construction which is now in progress. Contact Fire Marshal for sprinkler inspection. ~ ~'NUr Ro t/, a-~.a ~~~ ~ / Instructions to DESCRIPTION: # Levels _ Garage: Att. Det. Carport Decks Entry Foyer _ Bedrooms _ Full Baths _ 3/a Baths - Yz Baths _ Kitchen _ Dining _ Living Family/Rec Media Room _ Library - Office/Study - Exercise Rm . _ SolariumiGreenhouse _ Storage - Laundry _ Mech. - Mud Room Sitting Room Den _ Breakfast Nook Other: ,.... Fireplace: Make Model # Gas Appliance: Make Model # _,;_._ _ d I Z ~ ~ yy ,, v~~~ ~~~~ L Contact Phone ~ ~ ~ ~ ` Address G i1J (5.S f`.~~c~ Request Recd. 2 ~ ~ Subdivision ~ ~ 2 2 ~/ ~ ~~ ~r- Request for M THE AME H F A.M. ime Contractor l D t ~ ector Ins Owner nsp. e a p InOCpon@nce Press, lnc. ate, zres ~ =1 rr w. .. w. - v v1t v,..s y.~ l~'iiited on Recycled Paper ASPEN/PITKIN ENVIRONMENTAL HEALTH PENT FOR FIREPLACE OR ST(?"d= Name of owner of property ~. Owner's Mailing Address - Street Address of Property - Legal Description of Property Owner's Phone Number %, 1~~~/ =mss Ul/I~~c. °arcel ID# of Property - Tax Schedule # of Property ^~~ ~ ~° < an tlF An; ~h q~ d~ ~~~`i59. <~9.5 -9" -4!:~ Structure type: Single Family ~ Duplex ~ Condo 0 Apta Commercial/Office0 ~ Other Check one: New Construction ~ Remodel C! ~"~ NUMBER & TYPES OF DEVICES YOU PLAN TO INSTALL: ~~~~ # OF C~ ihD WOODSTOVES~_ MAKE, MODEL # ~JC i~,-f ;~. ~ ROOM L r v,7+. S CATALYST? # OF FIREPLACES W/ GAS LOGS D ROOM(S) # OF DECORATIVE NATURAL GAS FIRE PLACE APPLIANCES W / 4" OR 5" CLASS B VENT ~ MAKE, MODEL # ROOM(S)_ # OF WOODBURNING FIREPLACES ROOM DOES THE FIREPLACE HAVE AN~IN~SER.T.? (yes/no) TYPE%~`~"'''`~""~- /# OTHER DEVICES Q TYPE NUMBER & TYPES OF DEVICES YOU AL- READYHAVE # OF CERTIFIED WOODSTOVES MAKE, MODEL # ROOM CATALYST? # OF FIREPLACES W/GAS LOGS ROOM(S) # OF DECORATIVE NATURAL GAS FIRE- PLACE APPLIANCES (WITH 4" OR 5" CLASS B VENT) MAKE ,MODEL # ROOM(S) # OF WOODBURNING FIREPLACES ROOM(S) DOES THE FIREPLACE CONTAIN AN INSERT? TYPE # OF OTHER DEVICES _ TYPE ROOM(S) If gas logs or a gas appliance are being installed in a bedroom, the Building Department re- quires proof thaE the gas log or appliance is approved for inst Ration in a bedroom by UL or AGA and the manuf~turer Glt~u- /(/~r/~, /~,~,~-f, j„ti,.s Signature of applicant_,~~i~~1'^-'-~ Date Environmental Health Department approval D t~ ~3 Fee Paid Date Paid -0 ~~' ~~ f , ~ ; ~ . , ~ ~; ~ .,, . F~ r!!!!!!~ # i ? 3 ~' #' .~ _ ~. ~_ of _I ~ ,; I~;? ~~ ~~, ~F ~~ ~- t ,, ~' ~, 3~ ,: ;, °~ ~$ ~: ~,: V~a • ~ v w-c'~'4 ~.cc~ _ "~ ~ v. ?~ '~L;'. 33csL.0 ' ~~ ~ r~irtil MUD ~~- v/ ~u~ ~~~ r :wf~~ ~i~~~ ~ I ~a~~ii' ~~_ H A L L ~ ~!'~ ~fl~ e1' SI Cr - ~<<-T`GI ~i~ i _ ~_ -'~~ ENTiRY G c~N~' ~~~i i ~ r __ ~ ~,~,i l°~°I"~ 6~ ~ ` . ~s~ ~~ ~--- (~ DRIVEWAY ~1,~=~, -.-~-~, , u P i -~~.} --~=--~--L O `r ~. ~....e ~.v-~.~...-...Asa....=.....-~.s~~...~......e~~.~.. 1 (/V~ e..~.~w........-.~.~..~ I_ ~ ~.-____~ ~ ' ri _~ ~~~~~; P o R c H i r ~ ~ ~ , ~n~ ~ ~~, i ~ IGV' l i ~ s ~ a~t~~~~~ ~~a ! ~~ ®~ i ~ _--- i~ 1 F ~~1- B T K I T C N E N ~~, ~ may' ~ v ~,~ ~, - ~ ~ ~ ~ ` ~~ -- - .~~ ,~ _ _ i ~..-__ --_--__ ~L~~ tlCYE.Y~~" 6<~ `;ice f~&4 ~QaJ` W6 V _ _.._.. - aa p~p pper~-- g~~n ~ a~yr~ ~t ~~~xxx ~g ye a~@pq f- - ,~ ~~ ~ ~ ~ ~~ ~ 16 I ~ ~~iet"~_~ ' ~ ~_ JI ~~. tor~7 r -rte ~ afi a 'rid ~ ~ ., _ ~ ~ ~ ~ ~ ~ Iii ;; jfNl N G IE~ ~L IV f N G ROOM ~ ~ ~ II~ j ! ~" i=== ~ Y o il; I ~~ it 1 i x. ~ I I ~ ~ _ ~ ~~ v f~-~~~ . ~ ry~W F+,a+~' 2-~i ~s few ~rl~ ~ ~ ~~ B E C K ------~ ~U ~ 7 '' ~ ''cl5'~E~ kh`U-S B E R G R E S I D E N C~ --- 1~~1~~'%'J ~'`i'I's M A I N F L 0 0 R F L A N ~(~ i u _ r-- ~~ I ~ I ~ I~ vF:. #, _~ -- ~t~~~! © -, ~l~j~ P>(I 7 -2 6 ~ i_ ~r V ~.., ~ _ __ ., ~ ~ '. BEDROOM ~' I '~ -- _ _~ ; BAT N \ ~2' „u ~J ~~ - , I N "- __.. "'S Ji vi i r _ _- H A L L~ ~3 C L t, -~\, N I D N l~rzn~ - < ~~°~ ~` -.~ `~ ~ .. _~ i -_- ---- ~ ,- - Is III \ ~ ~ --- - - i "io _ _ ~ _ __.~ I BALCONY i ; -~~ ~ ~ i i ~I f~ -> Il 1 MASTER S U ~ T E j ~j' i J~ g ~~'•~i. 4 i~~r~itS X~l7ii11ei' 3 • 1 8 t} h _....}_ ~f~~~..{{ $$R~~,,'` pp~~ F F6 C 4 VS F$((~`fi `'il S i "~~~ppyV ~~"V"~6`3T' ~SMR4~~19c ~-s~ W6A3f [9 ~ ~@i ~; - ~ , {~ ~ ~ ~ _ ~ ~ i it ~ ~'~~~~f ~~ ~- ~aT~ ~('~~ f I+ ~ I ~ ~ i i -- ~_~•: © I i1 I ~~~ - - - - ~- - -- - _ A L C 0 N Y I ~ ~ - ~~ ~ ~I't>~~ ~- G~ q Fit -- I - - ~ I ~~ `~'~ ~+G'f~ r~ 2fiWN~~`~~-I~rjN .~r;~~°F ~j~~n -~}`~ i 1i~T` Glyn.-' B E R G R E S I DEN C E ~~•~ ;~ cr ~I~- =~T~~~L. ,M,c9S-P M&Sc.< -- p~~"15~ ~ ~Y~u T% I•u ~~ ~ ~ ~~-Mi M~a '~ U P P E R F L 0 0 R P LAN ~$ cJCfsC... 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CCU { {~~ 1 i ~ I ~ ~ iii __-~ :1; ~~ ~:-~ o -~ _ _ ~ Dom. . -- - - ~ i I ~ ~ ~' ~ f ~ i ~ i \ \ O 7~' O M A I N F L O O R F R A M I N G P LA N ~lio , ii (3 31; {{ ~ t4 '" O ~1" N i i M U D ~ fi~ ~~lei~'r% I-'`~...PU[~ ~~r~J~rlt~if~1"~~._C- 1Co~a~ ~ "( t~~ I~ h~`'~;,I ~I~T~ ~:' Ems. 1~3'-f 114 5Z (~ y 11 ~~ ~tt~ ~ MECH t~ Q r~ ~ I~~ _ _ ~ - - -~ ~__~ b,~ ~~ ~ ~<y-a CIS I~~; ~ ~= ~ ~ ~~Ib s~ i _? DRIVEWAY ., r.~.. ~ ~%-~ - ,,," ,' ~I~ ~ ~~' . ~~' I- ~ If , ~E~~ i` I - - -~ r FP 1 i ~~°~~; " t",~R##: ,lAN~ 0.1992 ~a~ s ~~• _ e~ ~. i ~ ~ 1 ;µ _ ~~ ~1~-~ w~us - - - ~~~,,E,J 8 E R G R E S i D E N C~ K ~'`1~ -- y~ ~Y I / C ~ S ~M A `t N `'F L 0 0 R P L A N ~ II _. -_f_..~ x:11-- .. _ -- -- ~_ 4 ~hT -f'a EN TIR Y e. ~t~3s~~~. r .. R r ~ltn t ~~~~ £ F, a g^ ~~~sxari ~~hk~k§uu i d SIT wE.. a,Z 'a`.~.a saga P, BAT ~ ~ ~~ I 0 PORCH -j K I TC HEN J~ i ~ „ ; -~-~v _~ ~ - _ 1 >~iI ~/f1. ~.I ___ . 5:~-~IU ~.~~~~_{-x'=.11 ~Vt " 7__. '. 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