HomeMy WebLinkAboutpitkin.bldg.264335403000~. ~-~-- ~ ..~: ~, h, 5 ...
ELECTRICAL PERMIT APPLICATION 3
tao South Galena ABPEN~PPITKIIN COUNTY ~' ~ ~ ~ ~ ~ ~ ~ ~~~~ ~ ~~ ~ 2
3o3/szo-saao611 B N O ASPDEN ^ RTME ~`
PERMIT NO: 3-'
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BUILDINGPERMIT # OCCUPANCY GROUP TYPE CONSTRUCTION SOUARE FOOTAGE
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USE OF BUILDING
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CLASS OF WORK ^ ADDITION ^ ALTERATION ~ NEW ^ OTHER
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DESCRIBE WORK IN DETAIL (FOR ADDITIONS ALTERATIONS INDICATETVPE NUMBER AND LOCATION OP SOURCE OF CIRCUITS) ~ ~ - ~~ ~~
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OWNER/APPLICANT: Thepndersigned applicant to personally perform electrical work on the foltowmg describe property or residence hereby certifies,
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by the applicant; that the applicant is not engaged in
as a condition of issuance of'such permit, that the above described property or Iesidence Isdwned
the business of construction or remodeling;:and such propertyis not intended for sale-or resale nor Is It. rental property (occupied or to be occupied by
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tfiaf compliance Witfi these assurances is a cpntli-
whether transient or permanent), nor will. it. be generally open to the public It Is understood
tenants
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tion of the Issuance of an electrical permit to the applicant pursuant to the provisions of C.R.S. 1983, Section 12-23-111 (2) (as amended), and that fail-
ure to comply herewith well be grounds for revocation of the electrical permitor any certificate of occupancy Issued with respect to tfie property or resi-
dence described,
Date ~~~
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Applicant y
SELECTION OF METHOD FOR PAYMENT OF USE TAX `~
- - DEPOSIT METHOD 3 % OF 25% OF PERMIT VALUATION PAID NOW AT ISSUANCE.
INAL REPORT ON `TOTAL ACTUAL MATERIALS COST MU31- BE" FlLEb WITHIN BO
^ MONTHLY OR OUARTERLV RETURNS WILL BE SUBMITTED DAV6 AFTER COMPLETI"OR"O"k W07ilE'°GENERTL ~CONTR?rCYORB-CROOSING YFtIS
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" ~"~~ `~" ~ ""` CL SUBCORITRACTORSTHAT 60 NOY
METHOD MUSTRt'PORT AND AEMITTAX FO~A
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^ E%EMPT: STATE & PITKIN COUNTY RESALE NO
.__ ... ,: OBTAIN THEIR OWN PERMIT ' -~ ~
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EXEMPT ORGANIZATION
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^ DOUBLE PERMIT FEE
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NOTICE USE TA% PERMIT FEE.
For all work tlone untler this permit the permiVee accepts Full responsibility for compliance with the NaDOnal
antl all other county resolutions, city ordinances, state laws,
the City of Aspen ortlmances
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whichever applies. Permit subject to revocation or suspension for violation of any laws governing same. An
n- _. ;BUILDING DEPARTMENTACCEPTANCE
accepted final electrical Inspection shall be obta ned prior to using the electrical system Afirial electrical i
spection shall be requestetl with n 48 houre after compleDng an electrical nstallatron Appro `By ate
ERMIT VALIDATION
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~ DATE. RECEIPT# TOTAL
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SIGNATURE OFAPPLICANT '" ~ "' ""'
White-Inspector's Copy Yellow-Assessors Copy Pink"=Building Uepaitmehi Flte4 Gbltl Cus~mers Copy --'Green-Finance
ASPEN ~PITKIN REGIONAL BUILDING DEPARTI~%IENT
1 30 South Galena Aspen, Colorado 89 69 9 3C3/920 H440
/// BUILDING INSPECTfON CHECK LIST
Inspection _~/ _ Reinspection Partial Permit No.
^ STEEL (REBAR) LECTRIC ^ PLUMBING ^ MECHANICAL ^ BUILDING
Footings Constr. Service Underground Rough R-Frame
Cassions Underground Waste & Vent Flue(s) Insulation
Wall Rough Water Pipe F.R Flue(s) Drywall
Wall Cores Perm. Service as Pipe Combust. Air Special _
Struc. Slabs Final Final, Final _ ' Mobile Home _
Pads Bonding * Fire Sprinklers 'Air. Cond. Final _
Piers Special ' Kitcli. Hood ~ _
Bond Beam _
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also uuuuns ig uispector. U"(.~.LG7 ~/,vlj~C.. ice' .. <_
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DESCRIPTION: # Levels Garage: Att. Det: .. Carport Decks
Entry Foyer _ Bedrooms Full Baths _ 3/a Baths _ '/z Baths _ Kitchen _ Dining _ Living _ Family/Re8
Media Room Library _ Office/Study _ Exercise'Rm. _ Shcarium/Greenhouse _' Sfor`age Laundry = NTech.'_
Mud Room SittirigRoom - Den B~rea1ifastNoo~t'~ ~ ~" '~" " '"~
Other:
Fireplace: Mak/e// Model # Gas Appliance: Nlake Model # 'I
Address '7"~~ ~~\n ~11~//7 CdntactPhdne ~7~'CS~~b '"~~
Subdivision _ Request Recd. "` "~~
~` ATE TI AME y
Contractor ~ Request for/M T /~TH ~A. P. Tlme t
Owner Date Inspl 9 /Insp. for
mawo~ao.~ nre::. mo. ~ ap.. s sz