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HomeMy WebLinkAboutpitkin.bldg.246524201005DOCUMENT 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. __•.. ~..xY r:^. .. y .... _ ~, 130 s. Galena BUILDING PERMIT APPLICATION General As ~np CO 61611 ' " Construction . PEN*PITKI PITRE,GIONAL BUILDING DEPARTMENT Permit . 3D3/920-5440 COUNTY CITY OF ASPEN ^ ~ ~~b A Plicant to com late numbered s aAcess ~. • ~-~w ~ ~~~~~~ ~~~~A * ~ „~ PP P P only NO ~ .<. I ~S 1 a .. _..• w.:o. _.. .. a ... .v .N. 'd'rv' i4 wYiev JOB ADDRESS ~ "" _ "~~'~ ' Y l SEE ATTACHED SHEET SUBDIVISION """ ""' ~" °". `' `"` '"I I~ R TO L0 K TRA ~~'U L ~ I LOT NO. a LEGAL 2 / ~ ~ / ' ~ Gx~ ~ ~~ h ~/ / _ /C} _./~ d c -/ i / ~G Z 1 .,..:..,. ZIP PHONE InidA OWNER "'"' 'MNILADDRESS ~ ~ /, ~~~ ~^ 3~3 ~~( EAA..~'. ~d``s ,t=L ?a8-3z~'`7~~ " ,r j i~ 3. ,r ~ _ ~ ONTRACTOR t"MAIL DD ESS PHONE LICENSE NO 4.' 2.r'M2M ~O YYe7vKe.S C.A2~P+ncla~.Q 3o3-r-(b3-ott "-' ` LICENSE NO. PHONE ARCHrtECTOR DEBIGNER ''"' MAILADDPESS ~ ~ - ~. LICENSE NO. _•... ~"-MAIL ADDRESS _. .:-`"~ »,:°>vc.amm aa.... PHONE ~. ~. ENGINEER 6 - --..=v.- e.:~h- s^ ^-„^:. CLASS OF WORK: "' ~IEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ 7 SQUARE FOOTAGE ZONING FEE CENSUS CODE /t $ ~~ ~/ ~_~ O/ ~A/If / I 1 . USE OF BUILDING ~' ""'`" "` "" ''- PLAN CHECK FEE PERMIT FEE 3%USE TAX DEP VALUATION OF WO "~• ~ -~~ ~ ~~ 10. $ `~ ~ ~ ~- • Type structld~ Occupancy Groin Lot Area - 101 ~{ 11. Remarks l E' Cam( ~ .j SlzeofBuiltlm ITmal Syva'e ~` f No of Stories o OcaLOad (~ NO. OF BEDRO S Use ZOne Flra Sprinkl~erp. Required i L~ ~ E%IST ADJ~D /~ ^7 ^Yes ~. No ~ /C~ ~ .\J •J4 1 ~J ' ~ No. of Dwelling Units OFFSTREET PARKING SPACES. O ` , ~4 / Covered Uncovered _....„, " „.., `SPECIAL APPROVALS REQUIRED AUT RI2ED BY DATE - ZONING " w ,y H P C . . . FIXtUTG COUDt. PARK DEDICATION z - HEALTH DEPARTMENT =- PLACE ~ P SVBM PL PLICATION MFEMEq PIANS Fjq APPfl FIRE MARSHAL ' ' By _.•. ~.• gY_, ^^ ( y - ~ _..- e ~_ fv. av __ ~_ SPRINKLER /~' ^ ( ~ ~(/ ' 7 p.~r •" ~JLt-T J VR1 "~ ~ • ~ r - T P ~. _ . onr[ E- ---. - '" (. WATER A ~~ ~ G NOTICE cTH SEPARATE PERMI S A E REQUIRED FOR ELECTRICAL PLUMBING, - '- " HEATING, VENTILATING OR AIR COND'IYION(p"G.`- ~ ~. FOR PAYMENT OF USE TAX Bf I471 7 -SELECTI01 THIS PERMIT BECOMES NULL ANDVQID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCEDWITHIN 120/180 DAYS OR-fF G"Of~'"' ` E y~ MONTHLY USE F QUARTERL ETURNS WILL BE SUBMITTED. ~~ STRUCTION OR WORKIS SUSPENO~ED OR ABANDONEDFORAPERIOD ~ ~ ~ DEPOSIT METH00:3% O % OF PERMIT VALUATION PAID NOW ED OF 120/180 DAYS AT ANY TIME AFTER"YNO"R2`K I"S COMR~EIIC ~ TR~ A LS AT ISSUANCE FINAL REPORT ON TOTA A A 'YM I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND " a p w COST MUST BE FILED WITHIN 90 DAYS AFTER COI~APLE~IVIV OF y KNOW THE SAME TO BE TRUE AND CORRECT ALL `PROVISIONS OR~L'AWS AND" WITH" ERNING THIS TYPE OF WORKWILL BE COMPLI`rD ES GO ""^"' "'" WORK. GENERAL CONTRACTORS CHOOSING THIS METHOd~'~ , V ORDINANC WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT` MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTOAS ~ ~.u PRESUME TO GIVE AUTHORITY TO VIOLATE OR'C'dNCEC`THE~PROV(SISNS"OF" THAT DO NOT OBTAIN THEIR OWN PERMIT. ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION.O_RTRE PER- ~ FORMANOE OF coNSTRUCTIDN. ^ EXEMPT: STATE & PITKIN COUNTY RESALE NO. ...:...._~ - „--„ EXEMPT ORGANIZATION sunmNE of coNrNncro o ureoe¢EO AcEN( loarel THIS FORM IS A PERMIT ONLY WHEN VALIDATED. WORK STARTED WITHOUT PERMIT WILL BE DOUBLE FEE s rvnnN ER OF arvrvE LOEr+I ~wrel Zoning Validation Plan Check Valitlatian ~ „r q / PefLwS `~ ~ Y V id tl ek"C5' 3°° se ax psi V Itletion ~' yp' )J,...~c~. ~(/:, yam' ~ rv--~v q $ U ~~~ l0 i/ta v C' 61 _ WHITE-FILE COPY GREEN-FIN NCE DEPT PINK-BUILDING DEPARTMENT YELLOW-ASSESSOR GOLD CUS 505 East Mein Street BUILDING PERMIT,APPLICATION ,_ .w.-•.»,.,:~.. General Aspen, Colorado 616'11 ~ ~ ~~ tl 3o3/9i25-5973 ASPEN*PITKIN onstruction Permit RE6tONAt. BtJIL,DINO DEPARTMENT 5 5 31 Jurisdiction of NO. Applicant to comp/ete numbered spaces on/y. JOB ADDRESS ... ,• .• ,.....m.nnww» e «Pn..s~e+«w,..+M¢µwx^a^~.to+xtt!~kfitwrv~e~xv5lc.+u~a+ewcw~ vrvnuxm+H.uv sop~~ ~e /~ - ...,._r.U. ~, __- r'OT NO, BLOCK , TRHCT OR SUBDIVISION (LJ SEE gTTACHEO SHEET) LEGAL ZIP 1.. _ .. PHOISE..,.,. ,... v.. MAIL ADDRESS '' Atri O OWNER 31z-3~$'~B•1t sl+k ~I_l 333 ~ool t aJa r"va - t ~ 2 . H n EG 6 ' -02 ~ Ihlt2. ' CONTRALTO MgILA DREBB PHONE LICENSE NO. .. 3• Fl 5 R kid t/!% . .: ,..,,z:l _ _ .r, .., r. :..~~... /d PCIOTI E:. ,. ....,.«.u,.,ww... LICE1~15E NO:.r..+ MAIL ~AbiJRESg"~I ~ " ARCHITECT OR DESIGNER ,. 4. 'MHIL AdORE55n,~W.:r .. wk .w ..xN'., M. `ti..1 ~:PP:>w. ".~'A' 4,:1'PPH I' •°d-uew+wlv'n*"..r.wnsL1C'E'RYS~hYO~, ..~, ENGINEE0. 5. USE OF BUILDING 6. ir,,.n.x w-L.w,auw --cx w:.,y .~. , .Wr,.,ur . emu- r,.,o-,a . .o ~ Class Bf work: oNEW ^ ADDITION ^ ALTERAThON REPAIR ^ MOVE ^ WRECK ~, _ _..... $. Change of use from '" °' - PLNN CHECK FEE PERMIT" I~' ~~' TOTHL FEE Change of use to /5 -" '~ " "'" `'" ~ '"'"' " Tvoe or G on~ct'lon o«uoancv Grouv - Division 9. Valuation of work: $ '3 •j O • OICJ V A~ /' l __ ._ 70, REMARKS: sneol awiainy No. of storles Ma><.o«. LOae c (Total Squall FL~ f Fira Zon¢ USe 2on¢ Fire SO/iOkl¢rs 0.¢pulYeO ^ Ves ^ NO ____,. .,.mow r>o, No. of Dwelllnq Units OFFBTREET PARKING 5PACE 5: <overea uncovaree _. Special Approvals REQUIRED AUTHORRED BV DATE ZONING HEALTH DEPT, ANS CHECKED P gPPRO E FOR ANC APPLICATION ACCEPTED L DEPT. eV BV eV REPORT DATE OHTE DATE pggK DEDICATION NOTICE wgrea TAP SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CON61'T10NING -' ~ '-~ ~~ ~ .... . . ........ . ENG. DEPT. . THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION MENCED WITHIN 120 DAYS OR~IF CONSTRUE S NOT O orHER (SPECIFY) C M AUTHORIZED I TION OR WORK IS SUSPENDED OR ABANdONED'FOR A PER~IbO`OF"iTtl'" EN ED ' CO . MM C DAYS AT ANV TIME AFTER WORKIS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION. AND KNOW THE SAME TO BE TRUE AND CORRECT ALL'~PROVISYONS'O~F' L"AW5 '~ "-' "" "" P.ND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE"COMPLIED ~IYH WHETHER SPECIFIED HER EINOR NOT. THE GRANTING OF A PERMIT DOES NOY' THIS FORM IS A PERMIT ONLY YY I"IEN VALIDATED PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 1~HE PiiOVIS10N5 OF R- T WORK STARTED W/TROUT PERMIT WILL BE DOUBLE FEE HE PE ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR ~ ~ " ~ ~• FORMANCE OF CONSTRUCTION. ! ~. ~Qa-t'+ ~t+„I~~r:,.l-,p ('J • ~ ,c.~o c 9! 11 P "Z- ry ! 4 P I~ GNHTU E O CONTRgGTOR OR AUTHORIZED AGENT (DATEI /~ [~ "~ ~O d-J kipf~l SIGNATURE (]F l)WNER (IF GWNER BUILDERI _ DATE ~.-d VALIDATION PERMIT VALIDATION CK. ^ M.O. ^ CASH ~ PLAN CHECK VALIDATION CK. ^ M.O. ^ CASH ^ WHITE-INSPECTOR'S COPY YELLOW-ASSESSOR'S COPY PINK-BUILDING DEPARTMENT FILE GOLD-CUSTOMER'S COPY .~. s .- irk ,. w ¢r~^S~k"I Galena 13G= • MIT APPLICATION General BUILDI , L~ BUILDING GEPAFITME`TIT° Construction Aspt ,, GO 61611 ... ASPEN•PITKIN - ~ - •. .. Permit P G 30320-5440 COU TM CITY OF ASPEN ^ ~ _ ITK IN / X I lete numbered spaces only Applicant to com ND. p ~ . "• , • , . JOB ADDRESS ~ ..,. ....• "'"- •- •. •••.••~- ""'""""""`*"'"v""" : xp.wil.fNke:uw:val.udxsxa4w ' xss45ki:-,ww •. .. `" rt ` ^'~ ~ LEGAL LOT NO. BLOCK '(SEE ATTACHED SHEET) R SUBDIVISION T R A CT O 1,\\++ Nl 2.DE$G. '°~- ry ^ , ~ ^ _ I \V'K-L ~ ~QC~I 1~ IJ ei ~.~ OW _ .. ..MAIL ADDRE -..,... ~..:..,.,...-. e,,,",.-.....ZIP PHONE ' ' 1"GENt toS-32g-?$7 jWsi® T•l.-Ooze; z. 333 ~ @ Ism E>< s. ~ CON ACTORp a.~P Inc-~..w(~ P.a. MAILAOORESS ~- "- ~~~ ~'~~"i6~PHON LICENSENO. 6~x t Lr~ G~Q~~R~ Cd 3~~-R63- oll ARCHITECT OR D ES MAIL AD ESS PHONE LICENSE NO. I~ ~~rr ~~ 5. ~~ P y~~e/r2~~°lR Q. . (~, Cp~t~artCQALo ~ .~D3-$163-611 rMalNPww MAIL ODRESS PHONE LICENSE NO. 7 NEW ^ ADDITION ^ ALTERATION- ^ REPAIR ^ MOVE ^ WRECK USE OF BUILDMG "` PLANC~ECQ~FEE VALUATION OF WORK Type oI DODSINCaDD 9. $ ~ 4 (. NIE~: f Slze of Builtlin 1Q. Remarks e (Total seDare rsLl IOMS,. I Use Zone ADDED Fixture Count: fNiESUBMNTPL MPLICATgNPLCEPIED FIANSCXECNED PPR1 gy I ~ - BV BY_ 0.4TE_ <~.. OA ~~ WTE_ D4.. NOTICE SEPARATE PER ITS ARE REQUIRED FOR ELECTRICAL, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON AUTHORIZED IS NOT COMMENCED WITHIN (2071$0 DAYS STRUCTION OR WORK IS SUSPENDED OR ABANDOI PERIOD OF 120/180 DAYS ATANYTIMEAFTER WOFIKIS CO-i I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APP KNOW THE SAME TO BE TRUE AND CORRECT dLL'RROVISIONS~ ORDINANCES GOVERNING THIS TYPE OF WORK WICC 9E "~CC WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING"OF A'RER'! PRESUME TO GIVE AUTHORITY TO'VIOYA7F' OR CANCEL THE"RF ANV OTHER STATE ORLOCAL LAW REGULATING COK_ISTRUCTIOF FORMANCE OF CONSTRUCTION. 9 ^ NO DEP. No. of Dwelllnp LlFits OFFSTREET PARKING SPACES: /( CDVeretl Uncoveretl SPECIALA ROVALG REOUIR AUTHORIZED BY DATE PARK FIRE MARSHAL SPRINKLER S'~L ION OF METH FOR PAYMENT OF USE TAX ON ^ MONTHLY U QU RLY RETURNS WILL BE SUBMITTED. )N- p' ^ DEPOSIT METHOD: 3 % OF 25% OF PERMIT VALUATION PAID NOW ~' AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS IN COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF ~Nb WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD 1TH JOT MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS "OF THAT DO NOT OBTAIN THEIR OWN PERMIT. IER- ^ EMPT: STATE & PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION =~ THIS FORM IS A PERMIT ONLY WHEN VALIDATED. WORK STARTED WITHOUT PERMfi WILL BE DOUBLE FEE J Plan Oheck ValidM L / Parmit Valitlanon ,.~ I / i„ WHITE-FILE COPY GREEN-FINANCE DEPT.- PI -BUILDING DEPARTMENT YELLOW-A: ~~ b %C Sax Deposit Velidati ~` v~~ ! L ~ (~ .~LUMBIN / ' ~ ASPEN * P F DD Es~ ' ~ "~ ~ sj i ;I ',n E CITY OF ASPEN ^ a . ~ ~h~n~.~N:, ~m~ l `.. LEGAL DESCR. LOT NO BI.K TR CT "(O SEE ATTACHEDBHEET) OWNER __. ...MAIL ADDRESS ZIP .PHONE. .. - . '~~ CONTRQTOR L~ PH ~ ~ ~~~-2~~AIL'ADD~~" l~! ~' "" - "'"'" 'CIN LICENSE NO "' STAyT~E LICENSE O. "/V~'J (/j S / •, Jl C8, PHONE D R E $ ARCHITECT OR ENGINEER L ENSE NO. MAIL AD USE OF BUI~ING. - ~ BUILDING PERMIT # ~ ~ ~~~ CLASS OFWORK. ~ ~ NEW ^ ADDITION ^ ALTERATION ^ REPAIR IS tIlEY2 a IeSt3UT$Ylt ITII 1111 USE OF BUILDING __. ._ ..... .. .... ..:_... ...... .... _...._..~ v. ..cs:. ., ..,,, ul IISg. ~- Y DESCRIBE WORK % PERMIT FEES 5 ~ ~~ NO. TYPE OF FIXTURE OR ITEM ~ ~ Water Closet (Toilet) FEE' o- ~ ~ C vim. ~ O~S~... Bathtub _ G. • ~" Lavatory (Wash Basin) ,, Shower _... _ .,..:.. . Kitchen Sink&Disp _.... _ ..,.. ... Dishwasher SPECIAL CONDITIONS: LaUDdry Tray Clothes Washer ed~' Water Heater M/BTU ea. Urinal Drinking Fountain C Floor Sink or Drain APPLICATION ACCEPTED: PANS CKED: APPRO ISSUANCE: SIOp Sink C'~`~ B Gas Systems: # Outlets By -*:./Z" BY y ~} ~ Water Piping & Treating Equip. Date ~~ Date Date `~ ` - - ' Other ...NOTICE _. VOID IF WORK OR CONSTRUCTION N _.... _....... THIS PERMIT BECOMES NULL A D AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR'IF CONSTRUC- _ _.. _. _... TION OR WORK IS SUSPENDED OR ABANDONEDFOR A PERIOD OF 120 FTER WORK IS COMMENCED ~~`~'~-` ~~~'~ ~~ '-' "' '' __ . DAYS AT ANV TIME A I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDI- NCES GOVERNING THIS NPE OF WORK WILL BE COMPLIED WITH'VGPEYhYER USE TAX ~ $ NA PRESUME TO SPECIFIED HEREIN ORNOT. THE GRANTING OF A PERMIT DOES NOT A A'STA ' N AN PERMIT $ S --^- TE S OF V OT E GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIO OR LOCAL LAW REGULATING C STRUSTfOff~OR`THE PBR'FOAMARICE`'OP bOTJ- .... ._.. TOTAL FEE ~ $ (~i STRUCTION. f2--Zr~ "' SELECTION OF METHOD POR PAYMENT OF USE TAX 2~MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED. ^ DEPOSIT METHOD: 3 % OF 25% OF PERMIT VALUATION PAID NOW A7 " ~~ ` " ` ' SIGNATU OFCONTRACTOR OR AUTHORIZED AGENT(DATE) A7ER7 AL$ Cb§ f TOTAL ACTG,AL M ISSUANCE FINAL REPORT ON MUST BE FILEb WITHIN 90 DAYS AFTER COMPLETION OF`W~OR'K. GENERAL CONTRACTORS CHOOSING THIS 1v1ETH0`6 MUST'RERORY~~ AND REMIT TAX FOR ALL SUBCONTRACTORS TRAY 00 NOT~OBYAIN EIR OWN PERMIT SIGNATURE OF OWNER tIF OWNER BUILDER) ~ ' "-(DATE) . TH ^ EXEMPT: STATE & PITKIN COUNTV RESALE NO. EXEMPT ORGANIZATION ~~ ~ ~~' P"'T. r^' ~~~~~ ~ ~ 3%USe Tax De oslt Valltlatlon Pe ~t~Yal' oon P p ~... ~ F `{ }r' y,..,3 ~ L...H ~-• - IES: WHITE INSPECTOR YELLOW-APPLICANT PINK FILE GOLD-FINANCE ' -~--~-~ i....A ;e. ... ,:: ^~~-~ ~~ ~~~~ ~t 3 aa..r~ ~!L ~~ U -~..s 4> C M l~ I~. ASV o ~ _. .YaIW tl~ ;,~ .. 3% Usa Tas DapwH W Ildatidn t "' ~' '"~ . "'~ 4"~' k; COPIES`:VlHITE-MSPECTOR YELLOW-APPLICANT PINK-FILE ~, GOL0.FINANCE ------ . ~.~----_,rn-----~-- ;: w~ PLUM PITKIN CITY OF ASPEN ^ ~~~t _. JOB ADDRESS ~. -•" ~^ _.a•e~ :+-wm-..•„swaw+.. .<:rry.. .,x r.. a~.~., a.~er-rs...k ]3'..~n,~."ro'~:~~W-u=. h LOT NO RACT ~ "' ''IO$EE ATTACHED SHEET) LEGAL . DESCR. - .. OWNER ... _. MAIL ADDRESS, .... ZIP ..PHONE ~ NE ~ ~ MAIL ADORE ~~ ~ CITY LICENSE NO. 5TA~LICENSE NN~~ CON R TOR 7[ ~7 ~j 6 U ~ AR HI ECT ORE NEER LICENS NO. MAIL ADORES PHONE 'BUILDING PERMITS '~ ", ~~"' ~"" USE OF BUILDING: ... ... t,, CLASS OF WORK ~ """' ".' B reStAUrArit III thYS EW ^ ADDITION ^ ALTERATION ^ REPAIFP there ~T /(/ USE OF BUILg~NG ~ ! _. ..:_ ....yes Q 1VO S „M1't+ DESCRIBE WORK: ~, PERMIT FEES ~ >, L'Ta~ 1I~..C ~^~. NO. TYPE OF FIXTURE OR ITEM FEE / /~ Water Closet (Toilet) ff ,y` G: C~/ :7 L ~Q~ Bathtub ._..., ,.,. Lavatory (Wash Basin) Q,U~~ ~,,i.-..... Shower .., Kitchen Sink 8 Disp. Dishwasher SPECIAL CON IONS: Laundry Tray F. bg1 ~ ~ Clothes Washer .. Water Heater M/BTU ea. tri ~ Urinal ~°` Drinking Fountain / Floor Sink or Drain ~ .cr d Ci PP ICAT( J. ION ACCEPTED: S Di APPRO DF UANCE: Slop Slnk Un/^~J) . B Gas Systems # Outlets By /F-. By . y I ~ Water Piping 8 Treating Equip. t8 v ~ Date Date • ~ .- '- °' Other ,.. _^ NOTICE _.... N IF WORK OR CONSTRUCTIO HIS PERMIT BECOMES NULL AND VOID AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF CONSTRUC- TION OR WORK IS SUSPENDED OR ABANDONEIY`FOR A PERIOD OF 120 -- ~ ~ -' ~"~` "- M`MENCEb: ~ S , ;, CO DAYS AT ANYTIME AFTER WORK I I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS APPLICATION AN6 KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF CAWS AND ORDI' USE TAX $ TYPE OF WORX WILL EE COMPLIED WITH WHETHER' NANCES GOVERNING THIS SPECIFIED HEREIN Ofl NOT. THE GRANTING OFA pERMIY00ES NOT"P1iESUME TO Ii 'S E~ ~ ~ PERMIT $ ~ P OT ER TAT CAIdCECTH~ PROVISIONS OF AaV GIVE AUTHORITY TO VIOLATE OR ,.... W_ © OR LOCAL LAW REGULATIN ONSTRUCTION OR THE PERFORMANCE OF CON- TOTAL FEE $ (,/ L! c STRVCTION -' "" SELECTION OF METHOD FOR,PAVMENT OF USE TAX .,//'' - f1 ~ q ._ C~ ONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED ~ '{~~ 'il J L.~ pEPOS1T METHOD: 3% OF 25% OF PERMIT VALUATION PAID NOW AT M ~ SIGNA URE OF CONTRACTOR OR AUTHORIZED AGENT-' ""-(DATE) AA ATERfALS COSY ISSUANCE FINAL REPORT ON TOTAL ACTITAL ' " OP WORK. ETION MUST BE FILED WITHIN 90 DAYS AFTER CdNPL GENERAL CONTRACTORS CHOOSING THIS IdE7GOD MUST REPORT AND REMIT TAX FOR ALL SUBCONTRA"CTORSYHAT DO~NOT'OBTAIN THEIR OWN PERMIT SIGNATURE OF OWNER (IFOWNERBUILDER) ~ "`'(DATE) . ^ EXEMPT: STATE 8 PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION . . ,~ // J ----- i AypERMIT FOR FIR PLACE OR STONEY inledon Re~ydod P-par Name of owner of~p droP~ Otyner'a Malkrig _ DescripdortofPtoperty ` 8 4 U ~OG~~ o ~ .~- wgcre(ln... b P• ~ .--- Parcel ID# of Propeiiy JT'1- ~1 ~ o a 6 -00'1 o d Tax Schedule # of Property,_---~-- ~~ Single FatnEY d C,otnmerdal/~'fice~] Check one: New Cor<struction -DuplexOther 1~ g,emodel ~ ' ~gER ~TyPES OF DEVICES YOU PLAN 'POiNS'fALL• aria C~~ wooDSrov>~s-- a~aP~~ ROB CATA'LY5f2 # OF FIR~'LAC~ W / GAS LOG'S oM E ROOM(S) # OF DBCORATNE NATURAL GAS FIItE pI,A(~ pppLIANCEr+ W / 4 OR o~ MAKtB,MOD&L # ROOM(S) CES ~- # OF WOODI3URNB`1G' gIREPLA ROOM ~~ J i M P ° ~ "^' AN INSERT't DOES 'i'III'. PTltEPLACB ~'T1'~PB~~-----~ (yes/no) TxPE~1~J- # OTFIER DEVICES ~. J~_ I ~~~ grTYPESOP DEVICES XOU AL- gEADXHAVB . # OF CERTIFII'D WOOI>~O~S-----"~' MAICR, MODSL # ROOM CATALYSf7 # OF p~'pI.ACES W /~ LOGS. .--~- ROOM(S) # OF UBCORATiVg NATURALGAS pIRE- PCLASS BCC ~~ 4" OR 5'• MAKE. MODEL # ROOM(S) [,ACES ~---- # OF WOOUSYJRNING FIREI' ROOM(S) DOES TI38 F~'LACS CONTAIN Al`l INSER'ft._.-- T~'E # OF OTHERDL'VICES„~TYpE.~:------ ROOM(S) ~OM(S~ Ue ~ by UL oz fiance arebe'knP installed un a bedroom, the BoIIdinS P If gaa logs oz a g~ aFP~ lc oz appliance [s approved foz installation ~` a bedzoo quizes proof that the g 8 ~ pike fo to `~'2/r z. AGA and the n~ufachn'aGpo~1t_.~._- -~""' Hake SiRnatuseo4appllcu~t,-Y~- ASPEN*PITKIN ENVIRONMENTAL HEALTH DEPARTMENT Name of OWNER ~--{ Address of OWNER' Name of APPLICAN/7 -crwtT ao st. t )Pleked iq ~ t~'711w t"/o 1.OGT101/ OP PPOPOSEO fPSTLN~ Legal Oeacriptiea ~ry*cr ~. applleant . 4tPE OP PEgMITt ?o$-3aa'-?47I PsortE7og-3a..t'-'1t?'t I t4ftnr iuull~Wa l lOnegnaty a.. t lanpair t llilgatloa. Ma! dw Ito Lot sloek// Piltp in0dl~ldoe _..- f1N et Let 2 Trn os sT~ucru~r, t~TStngl. /ashy tlNllls~ t ltiranr. M yen p3N aay lretMe_ N~teieN to th swwae.P t 3TES Grso we. et t»dreasa ~ re. e: wta~~ se. ac Grs.q. ostpNau ~~ t1e: e: area..tte Olaaraker, ~_ ^o. et wtanatte Motkor ra/nh'es~ / -7 t - rA'1!R sVPPLyi tNlrlwp Hell. MptM / ~ ar t lpnbller Kann et lyntN t /fptlaq . t lsteeu ee eeedc ~ .• . a twotvi at of ,..,.,.. ~ .:... ~ :, , , ., . ;,, . . ... ... . ... . ", .~,. .. . . tpcle T~ek/abNrt+tios~Piild t //rcaetow pl~at/Alnwrotiep yield t 1bo.pNtsiw Sbilat ~- ! llaeinnetles lellee t !!bona .lnM 4.r. ..... t la~cye:laq, petalle nw t /Yryellat• otMe w t 1Varttllvy t tb`ttiePe'°'~: The 'fettle! sltn !N ~- pdettoa sN't an neiaeged wick tt» AtpN/-lttlw'tgtrleee~eeul sis1W oaMrsrec ~1~-',~Y:°"~=li "b a.w;~i ~. hetaee • paes/ceN M lnneW. Tan iadl~rldNleewya atepoNl Mralc earn bn /NWdhn[arn • tiill'dleq ryesstt eN C» el~tatn+d. e rr n' -rwlt. lsspecrtar arrswar lusr ik`etotli sy :~ >auoVptastr wittl~sttsrat"tsrttTn oe-tulsld~sr"t~7tr"'~o iG4~iK+l~CL~tt~i "i'r iNYlFrida OP TMr 3[YfTE1f. -.. .. eev0„ d/epOwl Neslt L `- -•^-~ w~ * ~,m nppiteatlOa ter an ledirtdeal qNd'"°ieka""O"~ge.""~ln'"~P""a~s~a~tnto[ea~ taenby na4slteK. 'eM sadeeif i• tcw aM chae tale lpterinit rlll lwval tMi 'Yp'pllptloa aM aey dubnagwrt"peYndt. tlgwate[~ o! applleaee lp ea.e. _ i ~~ ~'~O'~Z- ~ ". ,. !tittle • f.11t1011 Oneesu. twwild"~11 `iei~tL "ties` tlw° alieoi'daEu:l .._; NOTE: PLOT~PLAN must be filed with this application. °" ~`' ..:. Please locate the lolloviaq it~es'by s»asnred distaacesr ~, ~,~tt, 1. Property lines a/d'diaelyotls. ` 2. Proposed and existing w'tar yells on enbiact propssty and ""`"""` ad~aoent property. - 7. Doaestie eater'"service }leas. CN'al'lE~ !. Proposad+aad exis~ta4 bui~diags. vaways. and otAes S. course's:. 6. Proposed and r~vt.ca ..J . SUBMIT A REVISED $E CHANGED FROM`! and bth~r eater L~idividnal sewage syste~as bl~ "rvb~ect ` " ~ ' _._ r~sad s~r;cT~4nK S4s E,,..,~ . AN PRIOR TQ CONSTRU:. ION I INSTALLATION; IS TO'"~' ttu enderal9~ed hereby ~eknorlndgan rncOipc O! Mt irdlvlEuel .arage' disponilpa~le appllutloe and'• perwlt 'Lee In tTi6 yn .-_ ....~ ~., , ~,-a~n~,.~ O[ i • aeeelpt aretier • Otte yN Raealv~d .:by aAtiwliErrtlve"%fY~1c< APPLICATION FOR AN INDIVIDUAL SEWAGE DZSPOSAL•PERMIT !, ..,, inted on Recycled Paper ASPEN/PITKIN ENVIRONMENTAL HEALTH PERMIT FOR FIREPLACE OR STOVE Name of owner of property ! l= ~ Owner's Mailing Address 3 3 3 Street Address of Property d ~ 14 ' Legal Description of Property TQ~ ~-' ~l=t;i`1 ~ y W GST a~R.~ (a P.:vl - Parcel 1lliF OI rr~~.y Tax Schedule # of Properly ~1`T"9- W ~ 01~ 6 -on? o~.c~ Struchire type: Single Family ~' Commercial/Office Check one: New Construction AptQ - - ...0 Duplex Condo' Q Other Remodel 0 NUMBER & TYPES OF DEVICES YOU PLAN TO INSTALL: City ~ C~~ # OF CERTIFIED WOODSTOVES MAKE, MODEL # ROOM CATALYST? # OF FIREPLACES W /GAS LOGS o M ~ ROOM(S) # OF DECORATIVE NATURAL GAS FIRE PLACE APPLIANCES W , / 4" OR 5" CLASS. B VENT` '1`i o ry MAKE, MODEL # ROOM(S) # OF WOODBURNING FIREPLACES y ROOM 1~a v i rl P Imo o +~. DOES THE FIREPLACE HAVE AN INSERT? (yes/no) TYPE-_.-- # OTHER DEVICES ____ TYPE I--- - ~"' NUMBER & TYPES OF DEVICES YOU AL- READYHAVE # OF CERTIFIED WOOpSTOVES .__---- MAKE, MODEL ROOM CATALYST? # OF FIRII'LACES W/GAS LOGS ROOM(S) # OF DECORATIVE NATURAL GAS O PLACE APPLIANCES (WITH CLASS B VENT) MAKE ,MODEL # ROOM(S) # OF WOODBLJRNING FIREPl-ACES ROOM(S) DOES THE FIREPLACE CONTAIN AN INSERT? TYPE # OF OTHER DEVICES _ TYPE_:_.--- ROOM(S) - )OM(5) If gas logs or a gas appliance are beilt~g ins ledroved for installation in a bedroo my UL or quires proof that the gas log or app ' PP (~ to ~ v~ AGA and the manufacturer. o.. Q / Date e ~•• / Signature of applicant _~ Date -- ZONING CHECKLIST Owner's Name Fee ne~ Permit # ~- ~ ~ O. 1, ~ v Corrtact PersonMumber (l~17o~s ~ ~~ - 7~7 ! (~ 7d Ss• r/ 7~ 33 Date Received '~- JobAddress~~~( t~S'i~~:s ~Lt2~~ ~-on-c~ Legal Description ~ ~ ~ t, ~+ ~-" L i r t`~ Access Permit #93- Existing Residence 1041: I~Minor Resoti6onW. ~M~B00k ~ `~ Wildl'rfe ^ Wildfire ^ Flood Plain ^ Sbpes ^ Geologic O Ridge Une ^ Scenic Overlay BOA: ~ WA ^ Derded ^ Approved. Other • EDU: ~JJ/A Reso No. • ~d ~ Book F'~ Topo/SuLVey:l~wA Date .fob# ^ Schmuesser ^ Lines in Space ^ Aspen Survey Engineers ^ Scarrow ^ Alpine Surveys ^ Otlter: '. Type Work f~ L,c%1 Type Unit ~ ~ e2 Lot Size L~~_ Zoning S-3o II w Proposed A r v Floor Area /~ r °~' ~ .1(~ In `/ ~ # of Bedrooms ~ Existing ~ r ~ ~ decPC • ^ No Increase Floor Area ~~~Q 0.15,000 sq. fl maximum ~ Z-~_ q 3 ^ 15,000 sq. fl residential Plans Heigh 2 ~ rf ~ ~ Cert. of Occupancy Setbacks Front Side S ° Rear ~~ Within Approved Bldg. EnvJOtrtside All $eibacks ^ Conditions to be checked at CO #'~ Foyer- Garage:Attadr_ t~tach_ Carpal- Deck tGtchen~Dinic9-1---- l.i~r~9 ~ Famiry_ Bedrooms ~ D'brary_ OfcJStudy_ Med~aRoom_Exercrse_ SunVGreeN~se_ Laundry ~ Mud- Mech.! ~^~, Storage Attic_Ottier. A Over: Yes ~ No _ ASPEN*PITKIN ' ~ ENVIRONMENTAL HEALTH DEPARTMENT _. ~~ APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL•PERMIT Name of OWNER Address of OWNER Name of J 708- 3~.k'-?4'71. PHONE7o$'3~5'-7 ~ -'[ [ ~~ 1 ~ - ~ !ERNES 1'O aEt ( )Pleked Op ~ (')/yilad tot / Tl?E OP PLRMIT[ I er Inatallatlon ( )Repass , ( Anrs ( llpplleant . - ~ )Enatgeaey Ose ( )A3teutlon NOT dw'to fails LOGTION OP PROPOSED SYSTE-tIT, h n legal Oeacriptloo iNtC+~ 7,~ S(=c~ioN ~c~• (-~M1.2 )•F IOWfSU.(~b'Sevt1•i QP.IV ee ~~ WEsi oFT)te GPw don Sisk of Let o2' 36~ aer~ Lot alotk Yllia9 -.. .,.. Eubdivl~-^ .~ ~-. „ .~m.~.. -~ TYK.a STRUCTUAEt ( Slagle yaad.ly Orelllaq ( )OChert Oo yeu plan any further ad tiow to the sasidanee? ( )YES O No. OL Oedreewa~~ IMO. oL tofu ao. oL GrWge Olspeaala ~~. pe: OL autoaacie DSPhvashera No. eL Ratenatle ClocheR wa//e'ners / f " wRTER SUP-L7~ ((dprlv~u well. Oepth ~~ or (1peb11e, Naax eL Systaw ( )Spilnq . • ~ ~ ()ferea. oe Greek ar sNDlvlwar, sewRnE D1sPOSU, sysreM PROposEDl •. ( feptie Tank/Absorptlon piald OReotlonPlaat/Rbwrptloa Held OCeapoatlnq Tei1K (lLaeinentien Toilet OMound ( /Recycling, pouble we ( 1Retyelinq, ocher we I )Vault privy ( )Other, The laltlal alto Saspeetion welt be aKaaged with the aapea/Pltkin'Emiromwaul Neal Ch Oapartwont IBIS-2020, 6210-gi 30 a.w.) lcfoee a perwie can be leRUad. The ladlvidwl ~~wqe disposal pec.lc awst tie laaued before • building porwic can be obealnod. PINl1L INSPECTION MPRWAL MUST 6E OfV01 aY !!d RSPEM/PITRIa ENVIa0104MAL wE11L271 OEPARTI¢NS PRIOR 1'O aaCEYIL•.INC ANY PORTION OP THE SYSTEM. _. ~ _ , x ~e _ .;.. ,_ y ,:. AppIluClen Lor an Sndlvlduat swage dlepoaal peewit !a Iwreby subwlCted. The undaralgnod aekawledgaa that the above lnLorautlc is tree and eMt Llw !n[onae ~o(pj~r,q~ilh~l~Qawl da a the appliueiob and anY tubaegiwnt pan~lt. ~{ Signature oL Applicant ___...__~.~ O n'L g= ~ ~~ ~ ~i~~ `~/~ ,~ Q (!A!a a cation becowe~• invalid 11 aonths free the above dace.) NOTE: PLOT PLAN must be filed with this application. Pleaso locate the followiaq items by mensnred distances: 1. Property lines and dimensions. 2. Proposed and existing wager wells oa sabject property and adjacent property. ~Mvi`lE~ 3. Domestic water service lines. / t. Proposed and exisyinq-bus dings, dr veways, and other structures. / S HS~~ 5. Streams, lakes, ponds, igation ditches, and other water cour6es. Np Nt 6. proposed and ex~sting i dividual sewage systems on subject SUBMIT A REVISED,PL PLAN PRIOR TO CONSTRU.,TION I INSTALLAT BE CHANGED FROM ORI~NA pPLAN.ScpTi ~Tf}1'L~ S~ s~ E ~) ION IS TO Tba undersigned hereby acknorledgea receipt oL ehla !ndlvlduel aerage disposal pensic apPlieetlon and • permie Cee in the am oL S Receipt Nuwbec Date Fea Rcealved ••bY AdwlnLeratlvo OCYlcc 130 South f3alane Btreat Aepan, Colorado 816.1'1 3o3/92C1-6070