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pitkin.bldg.246717401004 (2)
DOCUMENT 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. it ~"",~ ; , , ,. "#M>d+~+'t";4r1 Y.Y,"ri!~.'n5~#cs{:p3~"i ~~r3. ~i '. ~,~_ ~" . y- .n:St ,NM~~WR~~iiie its;. a4~';,~~`~";n{mvP,{W}~-~;'., k a a 3"~=,; ` i LETTER OF COMPLETION Pitkin County Community Development Department It~ I ' Building Permit:. 2006.2003.p1im Owner of Building: CHRISTOPHER CARMICHAEL Building Address: 495 HOLLAND HILLS RD - BASALT CO 81621 - Group: Z R_3 , Type of Cdnstruction: V-N. THE PLANS AND CONSTRUCTION FOR THE PERM1TTED . " ' PROJECTDESCRIBEi7 ABOVE HAVEBEEN INSPECTED AND ." ,, APPROVED BY THE PlTKIN COUNTY COMNIUN~TY DEVELOPMENT DEPARTMENT AT THET/ME OF COMPLETION AND F/NAL INSPECTION YHE WORK WAS FOUND TO COMPLY lN1TH ZONING AND BU/LD1NG REGULAT/ONS EPFECTIVE7N THE COUNTY WITH THE FOLLOWING' RESTRICTIONS: SHED ROOF OVER EXISTING DECK ' r < ~ 'G Chief Buil in Official Date Nate: In all occupancies, except R, this certiflcate must be posted in a conspicuous place nQar the matn exi4 on`tfie'premises for which it is issued. Any alteration or use of these descnlietl premises of portion thereof witM1OUt the written approval of the Building Official shzlf negate thisletter and subject it to ASPEN *PITKIN CO UNITY D'EVELOPNIENT D~EP1t1REKl'~ `PER-"MIT APP~~CATIONe PITKIN t,./UNTY ~y,~{ CITY OF ASPEN ~,'' ° ` 130 South Galena 970 / 920-55251 970 / 920-5090 ~ ~~d~, a'LOD.3 ~~ Aspen, CO 81611 970 / 920-5532 Inspection L"ine' 970 / 920-5448 Inspection Line PERMIT NO. D /~ General Applicant to complete numbered spaces only Perfnlt 1. ! dl 4h i ~,S r LEGAL 2 LOT NO BLOCK a TRACTOR SUBDIVISION (^SEEATTACHEO SHEET) . REGD. ~ DE OWNER MAIL ADDRESS 3 / ZI~P7 / PHONE f"1 S CCt ("!'V! ICy4P y S /-[o/(qad /'7111,5 /fdr VYSti( f- ~~ ~o ~- FD CONTRACTOR MAIL ADDRESS PHONE LICENSE NO FN~ ~ ARCHITECTOR ENGINEER'OF RECORD MAILADDRESS .PHONE LICENSE NO 5. 11AC t11~~7 DESIGNER MAIL ADDRESS - PHONE LICENCE NO RF CIASS OF WORK 7• ^ NEW ^ ADDITION ]d'ALTERATION ^ REPAIR^ ~ ENERGV CODE FEE USE TAX CENSUS CODE CIS. FEE / (? I( r ~ USE OF BUILDING 8. ~ ~ PLAN CHE KFEE PERMIT FEE ZONING FEE ~ ~ ~ OS ~r VALUATION OF WORK SQUARE DOTAGE . j.CQ 9. ~ ~~~ ~ ~ 10 TYPO Of COnshuction Occupancy Group _ LotAree . ~ U 11. Is there food service in this building ^ vas ~,NO see miainqq (Total Square FtJ No. ci Stories Occ. Load 12. Is LPG used? ^ vas No (U q 13 NO.OF BEDROOMS Use Zone Flre Sprinklers Regviretl? ^Yes ^N . Parcel IDii b 0 o EXISTNG AWED ///~~~ { o ~ ~.'-4 14. RemarlCS o Alarm System Regviretl? ^Yes ^ND . No. of Dwellin g Units OFFSTREET PgRKING SPAC ES P t w ~o c o Caveretl Uncovered yl e~ ~ r a / -~ CC1 Vec1Yq. ~p 'YC'IS ~ {j 1. SP IAL APPROVACG REQUIRED AUTHORIZED aV DATE ZONING „ ~ ~y - /p V ~.. _.. _:. /~ AAA ~~~---fff ,. H.P.C. '/ _µ~.~ ` „` PARK DEDICATION ., PRESUBMITTAL APPLICATION ACCEPTED PLANS CHECKED APPROVED FOR ISBUANCE ENVIRO. HEALTH /J ~ ENGINEERMG /~ By BY Bv_~,_ BY_~,__ PARKG ~~ /~ DATE ~ /~ PATE 926 -43 DATE ~y E r ~~~ ~ NATURAL RESOURCES DAT FIRE MARSHAL __ NOTICE E REQUIRED FOR ELECTRICAL, PLUMBING, HEATING; VENTILATING` I WATER rAP OR AIR ONDIT O N NG. ASPEN CONSOL. SAN. DIGT THIS PERMIT BECOMES NULL AND VOID 1F WORK OR CONSTRUCRON'AUTHOR2ED' IS` OTHER NOT COMMENCED WITHIN180 DAVS OR 1F CONSTRUCTION bR WO K VSSU ' , R SPENDEO OR ABANDONEDFORA PERIOD OF 180 DAVSAT RNVTIMEAF7ER~WORL'(1S CQlv'1MENCED:' PAYMENT OF PITKIN"COQPJTY USE TAX I HEREBV CERTIFY THAT I HAVE READ AND EXAMMED THIS At'PGCATIONAND Kt~bV/TF7~E~~ SAME TO BE TRUE AND CORRECT. ALL`PROVISIONB OR LAWS AND ORD"(NANCES'GOV " ^ MONTHLY OR QUAFRERLY RERIRNS WILL BE SUBMITTED. ERNING THIS TVPE OF WORK WILL BE COMPLIBD WITH WHETHER"SPECfKID$HEREIN OR' NOT. THE GRANTING OF A PERMrrbOES NOT PRESUME'TO GNEAUTHORffVTO VfOLATE'" ^ DEPOSIT METHOD .5% OF 25%;OF THE PERMITVALUATION PAID OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON AT ISSUANCE A FINAL REPORT ON TOTAL ACTUAL COST MUST " STRUCTION OR THE PERFORMANCE OF CONSTRUCTION` ITTS MV RESPON§161LIN TO ` ~ BE FILED WITH IN 90 DAVS OF SUBSTANTIALCOMPLETION OF REVIEW THE APPROVED PLANS AND ANV COMMENTS THAT ARE CONYAYNEDYREREON' WORK AND/ORISSUANCE OF THECERTIFICATE OF OCCUPANCY AND SEE THAT THE STRUCTURE AND/OR PROJECT IS BUILT~IN bOMPLIANCEWTH ALL APPLICABLE CODES ^ EXEMPT: EXEMPT ORGANIZATION ~ ,, I A T R ^ RESALE: STATE&PITKIN COUNTRYRESALE NO. Vnc V'yV ~~ v R D O , (DATEI ~~., _ .. _: , , .:. - ... <, :. , ,. ,; "~ ANYONE WHO USES AND/OR CONSUMES BUILDING MATERIALS AND FIXTURES IN PITKINCOUNN IS SUBJECTT H " " PRINT NAME t //~J O T E 5%USETAX ///~ ^' ~/ PROPERTY LIENS MAYBE PLACED ON~THE OWNER 5 AND /OR THE CON- T ' ' ..... s~~ oeoroWNER IIFOWNER euILDeRI RACTOR S PROPERTY WHEN USETAk tS NOT PAID // THIS FORM IS A PERMIT ONLY WHEN VALIDATED WORK ED WITH OUT PERMITWILCBEbOUBLE FEE E~~~y Dade Validation Plan Check Validation Z~ Z Validate Pe it Validation ~ Use lax Deposit Validation ell///--- ~ ~ , ~r';.'"`°~._ ~ 'q o s s...~ ~~ .~. ~-, _. 506 East Mein Street ;~"** •~`-BUILD1~11G P~RIV117 ~4PPL1('bT'~°"~I ~~ Aaown_ r_anrade i4i69~ _: ...~ _. .. _. ,.... . ,. ... ..: ... .._ --- --' _ March•YI rKIN GOr1SLfUCtIOn R'EOion~s-L°"su~"'oti~itio~'~iS'rrtn~Yl~T" _... ~",u ._ ..". Perini[ Jurisdiction oftt~^ 1 /~ CE~Tn, NO. ~` ~ ~ ~'~ App/icant to complete numbered snares bn/v. jog gDDRE55 _.... -. ~ ~'. , ~ }f - ;=- ~ vaws..ii»a+A+s»sm . - S LEGAL ' LOT NO. BLOCK _ _. TRA TOR DIVr51 d"IV~ ~ I U SEE ATTACHED SHEETJ Z DESCR. ~ ~ L. . . ._ . _ . _ . _. .,..,.. ,.. -.w. OWNER AA ~ ~~yf MgIL AOD0.E55 21P PHONE 3 ~~ ~`~ t . p . 1 S \'CXrti:.. ~ ~> ~ I 12.5" ~~ C ' CpN~RACTOR MgIL ADORES ~ PHONE i ARCHIT CT OR DESIGNER MAiI gODR'E55'""` PNb'NE - '° = LIC ENSE NO .. .. ,....... ,_:..x .: .q.: ..,. ENGINEER MgIL ADDRESS PHONE LICENSE NO. 6..:.. ,.. ..u n "..... ~.. .. . ..... ~ n.._ n. ,. _ _ .. ... USE OF gU1LDl 7. ~s~p. ~ ... ~ ,......., ....~.: .ar~Ye~vra°:~xaaaW. g Class of work: ^NEW o ADDITION ^ ALTERATfON ~$ REPAIR ^ MOVE o WRECK ~~ 7 g, Change of use from I. 1` V'~ __ _ ..u, .. n.~ a, Change Of Use t0 A/' ~ PLAN CHECK FEE" ""'"'"""° PE RiGYIY'REE TOTACFEE. c r V 'Y _ w... " ..~. ~ ~' ,, I ~ ~ r Q~ _ ~~ ~ - f p Valuation of work $ TYPe or COnsVuctlon Occupancy Group Lot Area 1 ~ RE A ~~ `~" M RKS: 1Y. - ~ '~ Size Ot gu lamg ITOtaI SOVare FL)' No. O! Stories Max. 0<C. Loaa aP^_ ' ND OP9ED~ROOMS Us¢,ZOn< Fire Bprlnk ler5 RBtl uir<tl . E815TING'~'" ADDED I" l - ^ ves O No ...y,;, _ ~. _ 7f~ I No. Dwelling UnAS ` ' ' OFFSTREET PARICINO 5PA2E 5: cove.etl uncoverec >_ ,..~.,. .. ,W. .~l,..u .w Spacial AppiOVd15 R EQUIRED " AUTHORf DBV DATE ... _.. u....., ZONING ~.`. F ~~ ~, 4PPLICgTION ACCEPYEOO PLAN$ CHECKED ~ RO - # SU CE ~ HEALTH DEPT. ~ `' \ "IZ..) av av SOIL REPORT" ' 3, ` ~ll~~~ PARK DEDICATfON ° DATE DATE ATE : WATER TAP, ~ _ - . NOTICE SEPARATE PERMITS APE REQUIRED 'FOR ELECYR~CAL;' PLCft31"B`tfVG`, ' " ' "` ' ' ' ENG. DEPT ,HEATING, VEN~1LAT R J ~a ~ Q ~Ti I~J G R a°TI~~Y'r7 THIS PERMIT BECOMES NULL AnID tTOIb'"IK WCS'RTC ~R CON'STR°U~CaT'ION FIRE MARRPACL AUTHORIZED IS NOT'CO'MKA"ENCE"D`W7~'YY~"f 2~Dd'1~5;~'OR IF CO[~SYRU~ TION OR WORK"fS SUSP~T3"0 d'R ABAf~T~"~R'EOR"A PERT6 ~ Y°1` 1S DTHERISREaFh r p ,.-LA _ ~-a+~ D ;F 2 DAYS AT ANY'Y(M``FTR R"iNOR'IZ'1`$"GpMI(9'EAC'E"p"°" "° ' _ .i~. I HEREBY CERTIFY THAI' I }'}qVE REiCD ANI7 Ek'At14>~~d"4R'1~ J1~F~L°fCON AND KNOW THE SAME YO BEYRUE AN'D CO"G"A"E`C'~J°'A'LL'"'F'fi0'Oj$°I`Bt~S`'~"f)"F"L"A'Py`$ P.ND: ORDINANCES GOVERNfNY3"'S~F'fT5°"i~p'€ O~0`RIC WI~L'b~fAP~ WHETH EA 3PECI FIED HEREI~f OA NO'T""°YIfE GHAI3YhY(;"p'~'°J('p'Ep"Yb}"^~`"O~'y~,]"j~~ ' " " "' `~ ~ ~' " ' R~ TL.I LS FOR "I~ Q'f'i-fi~?~~~"7•'~••x + C 'SIYI -.tea 1 V YO VIAL A fE ~ b~ C q FV EL~O'~Il`$~f 71"6 O~ ~ GI 0 I lJ L.T L QTED N A OTHER STATE OR YO C.SLLA4Vt%RE1'jSJ'G""CD'f~'6~'(YG~'I'~'IQ"~R~I"!~°6'~'.' 0 F ANCP~ NSTRUC7 ~ - WORK STARTED ~s/FI~(J'l""p" ~`""~-''R'~"'-°'~^~'^I E k'i~7fT 4V%'LL BFD30(~BL'fE~ ^~ ,I NYC .i-~y , CTOR OR gUTHORI2ED AGENT (DATE) ~ _ ~.~s4.1..~yy ~ _'-{ ~ l ~ ~[` a 3-~5-~ 7 ~ SJGNgTURF nv nwnce~c.... ___ s 'n 9t PERMIT VALIDATION CK. ^ ~ M';O. Lr`~"~~CASI m, ~»_,.: `~ PLUM~.NG PERIVIIt A~I~.~LICATION ti r ~2 .0+ 13bS.Galena Aspen, CO 81611 ASPEN.~rPITKIN COMMUNITYDEVELOPMENT DEPARTMENT 970/920-5090 " 920-544SJnspection Line PITKIN COUNTY CITY OF ASPEN ^ PERMIT NO. Jro?D1J l hPl Permit Validation COPIES. WHI N Plumbing /Mechanical. Permit is being issu d! approved plans. Any deviation shall require ALL PLUMBING AND MECHANICAL P JOB ADDRES~~ I I / d ~r'I II r1r~`• t/TSR (~l / /'~QG OWNER I ` /` MAILADDFESS "ZIP gy551 PHONE 37y"~70 ~~ ~~ l / If °~ r ~' r ir~ 4r~•11~h e 9 }f~I ~.,~ /dal ~a>-~o~> s Ao PLUMBI NTRACTOR MAIL ADDRESS PHONE CITY LICENSE NO. STATE LICENSE NO. h ~evhn ' `~ ` ~ ' ~ ~ et-reC 0 l~R x ~ 7- '1373 ARCHITECT OR ENGINEER, MAIL ADDRESS PHONE LICENSE NQ USE OF BUILDING rr GENERAL CONTRACTOR ~ - BUILDING PERMR NO. RPSr~e7l~tr class of woRK: NEW O ADDITION'17 ALTERATION ~ OREPAIR is there a restaurant in this. building? Yes O Nom/ Type of Fuel: Oil O Natural Gas ~ LPG ^ WILL PENETRATIONSBE MADE IN FIRE RESISTIVE CONSTRUCTION?i YBS O No l~ If yes, a plan review is required. DBSCribe WDrk~, j PERMIT FEES ' /q S'h ~. I h NO. TYPE OF FIXTURE OR ITEM FEE / Water Closet (Toilet), Bitlet ly P`. TI F4 r. Bathtub Lavatory (Wash Basin) [~~ Shower Kitchen Sink & Disp. Dishwasher Launtlry, Bar, Utility Sinks Clothes Washer ' Floor Sink ~~ Floor Drain SPECIAL CONDITIONS: Water Heater M/BTU ea. - Gas Systems: # Outlets /~~\ ~ ~ Water Piping & Treating Equip. . ~ LU / `t l/~--~ Other y / APPLICATION A EPTED: PLANS NECKED: APPROVED FOR ISSUANCE: / sv a (2 G v ~ ey ) Q ~ '] Data ~ /'~! oa~a ' ~ ~ Data Plan Review $ NOTICE Fixture Fee' $ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS P NOT COMMENCED WITHIN 1 D Y ` ' ermit $ I A 80 S, OR IF CONSTRUCTION OR WORKYS SU§fi E4JDED ORABANDONED FORA PERIODOF180 DAYS ATANVTIMEAFFER WQRKIS C'OMMENCEb° SUBTOTAL $ IF THIS PERMIT IS ISSUED TOA PROPERTY WRHIN THEASPEN CONSOLIDATED SANITA- TION DISTRICT THE PROPERTY OWNERJS RESPONSIBLE FOR ADDRIONAL SEWE Use Tax $ R USE FEES. TOTAL DUE $ I HEREBY CERTIFYTHATI HAVE READAND EXAMINEDTHISAPPLICATION ANDKNOW THE SAME To BE TRUE AND CORRECT: ALL PROVISIONS`OF LAWS ANd'ORDINANCES GOVERNING THIS TVPE'OF WORK WILL BE COMPLIED WITH"WHETHER ~SPECYFIE23 SELECTION OF METHOD FOR PAVMENTbF USE TAX HEREIN OR NOT.THEGRANTING OFAPERMIT'DOES NOTPRESUMETO GIVEAUTHORIiV ' O MONTHLY OR QUARTERLY RETURNS WILL'BE SUBMITTED ` "` TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE OR"'LOZ°A`Y"LAW . REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.- O DEPOSIT METHOD:O.$%OF25°/a OF THE PERMIT VALUATION PAID SIGNATURE OF CONTRACTOR OR AUTHORRED AGENT (DATE) ~ NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90 DAYS AFTER COMP N P K slcNAruRE OF OWNER pFOwNER auILOERI ~ATE7 LETIO O lNOR . OWNER/APPLICANT The a Eersignetl applicant to personally perform plu bng work on the descnbec GENERAL CONTRACTORS CHOOSING THIS METHOD MUST REPORT property or res Bence he eby cenifles, as a cbnCltton of issuance of such pe m t, that the above descr bed AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN property or res dance s owned by the applicant. that the applicant is not engaged n the bus ness of construct on or remodel ng antl such property s not intendetl far sale or ies le nor s t rental property THEIR OWN PERMIT: VALUATION: ( uped orto be oce patl by tenants heMPRmnsieM Orp rmanent), norwll tbegenerallyppehbiha public. It is understootl that compliance tM1 these assurances'Saco dkion of the Issuance otaplumbing permit to the applicant pursuant to the pro sons of GR.S Sect on 12-58-113 (2) (as amentled) antl that f] ~~,yjp-r: 'STATE&PRKIN COUNTY RESALE NO. failure to comply nerewm will be grounds for rewcatlon of Me plumtiih9 Perrot or any"certRcate of occupancy lssu witM1 rasp Mtb the rope of reSidenCe tldscribed. .:EXEMPT ORGANIZATION / ~ y' APPIiwnL (' I f~ Date' _ ,. ` 0.5% Use Tax Deposit Validation ILE ELLOyWp~-APPLIC`C PINK-FILE GOLD-ASSESSOR tlon that 7 requested are on the ha u/.or.....~~~ a t e applicant's expense. qIT "AFY' ~ C~UIR~ T NTHEJOBSITE ~~~~ _~ S.g h ~ecG 7 I 1NG PERIVIIT$~i4PµP~G~ATIµON 130 S: Galel._ Aspen, CO 81611 ASPEN •PITKIN COMfv1LJNITYL7EVELOPfV1ENl' D~PARTIVi~fVT 970/920-5090 920-5448 Inspection Line PITKIN COUNTY CITY OF ASPEN ^ PERMIT NO. ,GJ.~DD / h JOB ADDRESS "" ' ~~ d /4~ ~,~/ R~I• ~~54/ ~ ~ ~-~~ ~ OWNER MAIL ADDRESS / ZIP l I'\ ar~,t~~~e ~ ~ xr~~S R /~ x/1 ~{ ` a c~ Y a- ,31 /d-~-SO~> PLUMBI NTFiACTOR MAIL ADDRESS PHONE CIN UCENSE NO. STATE LICENSE NO ARCHITECT OR ENGINEER. MAILADDRESS PHONE LICENSE NO. ~~~ ~~ USE OF BUILDING r GENERAL CONTRACTOR BUILDING PERMIT NO. R PS,~P~TI r ~ class qP woRK _ ,_ .NEW _ O ADDITION O ALTERATION O REPAIR ~ Is fhere a restaurant In this buJdmg? Yes n Noy7/ Type OF FUe: Oil O NdtUra GeS LPG O WILL PENETRATIONS BE MADE IN FIRE RESfSTIVE CONSTRUCTION> ~ YBS O No I~ If yes; a plan review is required. Describe work„ ... .._ . 5~ ~ 1 PERMIT FEES . / yl Iq NO. TYPE OF FIXTURE OR ITEM FEE t l y/ Water Closet (Toilet), Bitlef ~ ~ W P~ r'` Pq ~ Bathtub Lavatory (Wash Basin) Shower Kitchen Sink & Disp. Dishwasher Laundry, Bar, Utility Sinks ,~..:. _.._ Clothes Washer Floor Sink Floor Drain SPECIAL CONDITIONS: Water Heater M/BTU ea. .. Gas Systems: # Outlets Water Piping & Treating Equip. V v Other ' ~,~ , APPUCATIONA EPTED: PLANS NECKED: APPROVED FOR ISSUANCE: AG aY ---~ aY B _ _ y ~~ ~~ ~ ~ ~--1 II,, ~ oas oaN ,...__: _.:.__ oetB c V _... :...__ .. . _ . . .., w._. _.: , . .. -Plan Review $ NOTICE Fixture Fee $ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR~IF CONSTRUCTION OR WORKIS SU PE D Permit $ t S N ED ORABANDONED FORAPERIODOF 180 DAYSATANVTIMEAFTERN/ORKIS~COMIZYENCED ~ IF THIS PERMIT IS ISS b O A~ ' ' SUBTOTAL $ UE T PROPER fYWPfIiYNTHE ASPEN O ONSOLIDATED SANITA- TION DISTRICT THE PROPERN OWNER ISRESPONSIBLE FOR ADDITIONACSEWER`USE' Use Tax $ FEES TOTAL DUE $ THEREBY CERTIFVTHATIHAVE READAND EXAMINEDTHISAPPLICATIONAND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS"AND ORDINANCES GOVERNING THIS PE OF WORK W COMPLIED WITH' WHETHER SPECIFIED SELECTION OF METHOD FQRPAYM~NT OK'USE TAX HEREIN ORN HE RANTING P O ES N0T P ' FE ' FAE 70 GIVEAUTHORIN TO VIO F OR CE M T I MONTHLY OR QUARTEPLV RETURNS WILL BE SUBMITTED O R I ~ ~ S 9 TATE OR LOCAL LAW REGU ST dC p PERFORMA CONSTRJ IONS ' ~ / '/~G O DEPOSIT METHOD:0.5%'OF 25Y`o OF THE PERMIT VALUATION P SI ATURE OF CONTRACTOR RA HOR2EDAGENT (DA AID NOW AT ISSUANCE. FINAL REPORTONTOTAL ACTUAL MATERIALS s1GNATURE OF OWNER (IF OwNBR auILOERI ~ ~ COST MUS78E FILED WITHIN 90bAYS AFTER COMPLETION OF WORK: ° (DnTEI OWNER/APPLICANT: The htlersignetl appl cant to personally perform plumbing work on Me tlexribetl GENERAL CONTRACTORS CHOOSING THIS METHOOMUST REPORT property or resitlence hereby certifies,azawntlition of issue ca of such permit roar the above tlesc°batl propefty or resitlence s ownetl by the appllwbb Met the applicaptis not engagetl m Me Cosiness of AND REMIT TAX FOR ALCSUBCONTRACTORS THAT DO NOT OBTAIN constructlon or remotleling; antl such property is not intentletl for sale or resale, nw s it rental property (occupietl orto ba occupied by iehanis whether trobsfenf p THEIR OWN PERMIT. VALUATION: , or ermanenU. norwi0 k ba generally open to Me public. IS is untlerstootl that wmplianie wi[M1 these azsprances is a pontlitlon of Me Issuance of a plumbing permit to the applicant pursuant to the pro sions of C.R.S. Section t2-s8-113 (z) (as amendetll antl that f O. EXEMPT: STATE&PITKIN COUNN RESALE NO. , ailure to comply herew M will be grounds for ravocatlon of the plumbing permit or any ceNNCate of occupancy iazuetl whh rasp tto the rop or resitlence tlescribetl. EXEMPT ORGANIZATION rrq Applicant ~ Date ~ !~~ P Permit Validation 0.5°/p Use Tax Deposit Validation COPIES: WHITE-FILE COPY YELLOW-APPLICANT PINK-FILE GOLD-ASSESSOR ~/ PLUM~":NG PERMIT ALICATION 130 S. Galena Aspen, CO 81611 970/920-5090 920-5448 Inspection Lin JOB ADDRESS '~ rl d ~~4 5 ~ OWNER / MAIL ADDRESS ~ ZIP PHONE ~ ~ ' ' ~I~i s ~.rw/+~~ >• ~ ~ `Slla/~,~~ c~ ~f(3~ 9~-~-~u /-(~l/s R~r ~ssv t C PLUMB NG CONTRACTOR . CIT MAIL ADDRESS PH O N E Y LICENSE NO STATE LICENSE NQ ~ . ~} - -~ p ARC ITECT OR NGINEER IL ADDRESS PHONE LICENSE NO. USE OF BUILDING GENERAL CONTRACTOR BUILDING PERMIT NO. ~Sr class of woRK: O NEW ^ ADDITION ALTERATION O REPAIR Is there a restaurant in this building? Yes O No Type of Fuel: Oil O Natural Gas LPG ^ WILL PENETRATIONS BE MADE IN FIRE RESISTIVE CONSTRUCTION?: Yes O NO Q If yes, a plan review is required. - Describe work: PERMIT PEES NO. TYPE OF FIXTUREOR ITEM FEE 1 s ~ ' Water Closet (toilet), Bitlet / 5T' ~l PW N ~~ ~ B h b 7 + v yy5 Ih f (J at tu / Lavatory (Wash Basin) ,, ~'/ ©+h Q '- Shower ^ Kitchen Sink & Disp: c' u N (- q 5 /h P Y {' S ~~ q Dishwasher Launtlry; Bar; Utility Sinks ~ ~ P q ~ PSS P PS f° Clothes Washer Floor Sink Floor Drain SPECIAL CONDITIONS: Water HeateY M/BTU ea. Gas Systems: # Outlets , ^ ;~ ~i Water Piping & Treating Equip. ~ , j ,_\\ ,/~~~- Other APPLICATION ACC PTED: PLANS C CKED: APPROVED FOR'ISSUANCEi ©o Date Date bade f eCi1.a. ' C$ P Plan Review $ NOTICE ped on t cond t'ton Fixture Fee $ tys THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION l1THOR I~ d ~ on t B aPP Permit $ TC~ NOT COMMENCED WITHIN 780 DAYS; ORIF CONSTRUCTION OR WOR BS~ LS - 1 019 $ ~ ORABANDONEDFORAPERIODOFISO DAVSATANVTIMEAFTER WObKI C E¢~n ~ Vta SUBTOTAL $ IF THIS PERMIT IS ISSUED TOA PROPERTY WITHIN THE ASPEN CONSOLI A TA- T DISTRICT THE PROPERTY OWNER IS RESPONSIBLE FO D ~ 'S` O ~ OT CTnOV ~` Use Tax $ R.A DITION L$, Y@BR~ E _ F ES lxcant" On e ~ TOTAL DUE $ ' I E ' C ~ H REBY CERTIFY THATIHAVE READAND EXAMINEDTHISAPPLICATION ~~'htFyY~: SAME TO BE TRUE AND CORRECT: ALL PROVISIONS OF LAWS AND NC ~' (~'S-g /`y,~TI " ^e C,'T'[ ~, 5l 7 4 ~ ~~~ ' ~~ ~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WRH WHETH ~I'~SfI~JYyd HEREINO OT. THEGRAMINGOFAPERMIT DOES NOTPRE UMETOGI ALTtRORITY . N F IGI. TkWD F©R'PgYMENT OF USE TAX '::~ T~ ,~.C1••MONTNCS"TSfl QUARTERLY RETURNStiVILL BE SUBMITTED. ,,, TO VIO E OR CANCEL THE PROVISIONSOF ANY OTHER TATE~bR~DOCACLAW ' REGU ING CONSTRUCTION OR E ER~ORMAN E OF C RUCTION. c.L. ~ O DEPOSIT METHOD: 0.5% OF 25% OF THE PERMIT VALUATION PAID I R or coNrRA OR OaquTHOnrzeDAGENT. ryArE) NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 80 DAYS AFTER COMPLETION OF WORK sIGNAruRE OFOwNER (IF OWNER BUILDER) lonTE7 . GENERAL CONTRACTORS CHOOSING THIS METHODMUST REPORT ' OwNeRiAPPUCANr: me untlersigned applicant to personally perform plumb ng work on [lie tlepcnbetl property or resitlanpe hereby certifies, as a contlition of issuance of such pelmlt that the abovebescritietl AND REMIT TAX FOR ALL SUBCOMRACTORS THAT DO NOT OBTAIN ro p perry or resitlenca Is ownedby they eppp~sis ~nohaMentletlflorasalesor}esaleano Is it re boslness of ' conshuMion or remotlal n antl such roe entel property THEIR OWN PERMIT. VALUATION: (occupied or to be occup etl by tenants, whaMertransient or permanent), nbrwlll It be generallyopen to Iha public. It is untlerstootl that compliabbe with these assuarices sacontlition of the lssuancenfaplumbin9 permit to the applicant pursuant [o Me promslons of C.R.S. SeM on 12-58:1'13 (2) (as amenCetl), antl [hat failure to comply herewith will be grountls tar revocation of the plumbin9permit or any'. certificate of 0 EXEMPT: STATER PITKIN COUNTY RESALE NO. occupancy issuetl with respect m the property or rasitlenca tlescribatl. EXEMPT ORGANIZATION Applicant Date >~ ~~ E ~ t,,. ~ ~~~~mlc vaiu~ Ion ~ ~ /O p 0.5% Use Tax Deposit Validation C COI ~ HITE-FILE COPY YELLOW-APPLICANT PINK-FILE GOLD-ASSESSOR >~dl~/~~o~ ~ ~ . ~.: c.~~'rl e PITKIN COUNTY VV~' CITY OF ASPEN ^ PERMIT NO.- ASPEN •PITKIN COMM,~U,NIT~Y EVELOPMENT DEPARTMENT ~~~~~ ° PLUMC'~NG PERMIT i4~r LIGATION "`` ' ~J S. Galena Aspen, CO 81611 ASPEN •PITKIN COMMUNITY DEVELOPMENT DEPARTMENT 970/920-5090 920-54481nspection Line PITKIN COUNT`(^ CITY OF ASPEN ^ PERMIT NO.~`~7~Z -~~ , .. JOB ADDRESS 7 ' I U (l~ii ~mpl d OWNER / /~ MAILADDRESS ZIP / - PHONE Z C~ ~ \ ~~ S 1 ~ rn~„~• , ~ ~ L ~'S~c~~,~rf c'> ~i~3i i3>-~u /-~r~~f Qdr ~ssy~f ~ PLUM GCONTRACiDR MAILADDRESS ~ PHONE CITY LICENSE NO. STATE LICENSE NO. ~ ~?o ~~ ~~~~ - ~ AR HI ENGINEER MAIL D DRE ~, ~) ~ r PHi fJ1^ LICENSE NO. D ~ USE OF BUILDING GENERAL COMRACTOR BUILDING PERMIT NO. ~S r cuss of woRK: O NEW 7 ADDITION ALTERATION ^ REPAIR Is there a restaurant in this building? Yes O No Type of Fuel: Oil O Natural Gas LPG O WILL PENETRATIONS BE MADE IN FIRE RESISTIVECONSTRUCTION?: YBS O NO O If yes, a plan review is required. DeSCribe work: PERMIT FEES NO. TYPE OF FIXTUREOR ITEM FEE ,--., / f ;. , Water Closet (collet) Bidet " / (l D 5~ /Vl^ y' ~ B h Pw y ~ . bS5 /h P:... G at tub / Lavatory (Wash Basin) / ~ //Q'iTQ Shower ^ Kitchen Sink & Disp. P u ~ U ~ ~5 r++P ~~'t' ~i 5 Dishwasher laundry, Bar, Utility Sinks // ~JY h .7P55 'P PS~P Clothes Washer Floor Sink '° Floor Drain - SPECIAL CONDITIONS: ' Water Heater M/BTU ea. Gas Systems: # Outlets Water Piping &Treating Equip. Other APPLICATION ACCEPTED: PLANS CHECKED: APPROVED FOR ISSUANCE: B y -___ ev ev Dale Dale pale Plan Review $ NOTICE .Fixture Fee $ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZEb1S Permit $ NOT COMMENCED WITHIN 1800AYS; OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEDFORAPERIODOF 180 DAYSATANVTIMEAFTER WORKISCOMMENCEb. SUBTOTAL $ IF THIS PERMIT IS ISSUEDTOA PROPERTY WTHIN THEASPEN CONSOLIDATED SANITA- TION DISTRICT THE PROPERTY OWNER IS RESPON IB F R S Use Tax $ S LE O ADDRIONAL EWER USE FEES. TOTAL DUE $ I HEREBYCERTIFV THAT I HAVE READAND EXAMINEDTHISAPPLICATION AND KNOW THE $AME To BE TRUE ANIi CORRECT. ALL PROVISIONS DF CAWS ANb oROif~nNCes' GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED SELECTION OF METHOD FORPAYMENT OF USE7AX HEREINOR NOT. THEGRANTINGOFAPERMRDOES NOTPRESUMETOGIVEAUTHORITY O MONTHLY OR OUARTERLYfiETURNSWIL'L BE~SUBNIITTED. TO VIOLATE O CANCEL: THE BBO,VlalO F ANY OTHER STATE OR LOCAL LAW - REGU CONSTRU IOR THE ERFORMA NSTAUCTION.' ` !~ ~ O DEPOSIT.METHOD: D.E% OF 25% OFTHE PERMIT VALUATION PAID I Re F oNTRACT RAU o D, ~ (pATE1 NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS '^ ~ COST MUSTBE FILED WITHIN90 DAYS AFTERCOMPLETIOR OF WORK slcNAniRB oco NER QFOWNER BUILDER) (pnTEl ' . GENERAL CONTRACTORS CHOOSING THIS METHOD MUST REPORT OwNEwAPPUCANTr The undersigned applicam ro parsonely partomi plurnbing work pn the described property or resitlence hereby ceitllles, as a contlidm of issuance o/such pertnR Mat the atiove tlestribed qND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN property or residence Is owned by Me applicant Mat Ma apPli<ant is not engaged n the buslnesa'df constmctlon or rem<tlel ng andbudfi biopeM i4rot imendetl far sale or regale, nor s R rental property THEIR OWN PERMIT. VALUATION: (occupietl orto be omupied by tenants, whethet traaient or pertndnenp, norwill it ba geheallYopen tdtha public It is untlestood that compliancewMthese assurances sacdntlitidn of the esuance ofaplumbing permit to the applicant pursuant to the prov dons of C.R.S. Section 12-59-113 (2) (as amebCedf, and Mai O EXEMPT: STATE &PITKINCOUN7Y RESALE NO. failure to compy herewith will be grounds for rewcatlon of the plumbing permit or eny'iertificate of EXEMPT ORGANIZATION occupancy Issued witfirespect to the propeM Or resitlence described - APPlicant pate' rerml[ vanaaclon 0.5% Use Tax Deposit Validation COPIES: WHITE-FILE COPY YELLOW-APPLICANT PINK-FILEGOLD-ASSESSOR ~''BIIY~L~INIG I~NSPE~."TIO`F~ P%~~``~Ik~t~ _ °~... CITY OF ASPEN,-COUNTY OF P,ITK:IN ~, COLORA-D0~ ~ ~~$~ ADDRESS ELECTRICAL Or ~~os ,. ..... . _ .. L PERMIT ~' 'WNEN SIGNED AND~VAUDATED"8Y STYYLDIIJG lFfSPE TI N DEPARTMENT THIS"PERMIT ~UTN'Q~IYfS'T'N"E ~F!%~DESCRiBED BELOW. CLASS OF WORK: NEW ^ A®DITION O ALTERATION D REPAIR }MODE D WRECK O OWNER NAME ~ ~ ~ ADDRESS . , . .~ _._ .. .~~, , r_ ~. P,HONE _ .,. ~ .___.. _ _a_,. C al it ~ ~, LICENSE ~ LiC~FJ~E~ '- NAME (AS LICENSED) "' CLA~$~ ' "' ~ ' ` '~ - L NUMB R t ADDRESS L ~- "" PHONE. .. ,,, SUPERVISOR _ ~: v c FOR THIS 10B NAME,,,___, L ^ ` DATE CERTIFIED ''~ IiO:"OF"t~NITS ISESCRIP7"~'017"O"F~'"~/ORK', NO. OF UNITS DESCRIPTIOR`OF WORK ,TEMPORARY iVETER TRANSFORMERS & RECTIFIERS NEW SERVICE ENTRANCE "" ,_, WIRING MOTORS & CONTROLS NO. AMPS NO. OF OIL BURNERS STOKERS, ` ~ ~--- .. , FORCED"AIR SYSTEMS ....CHANGE SERVICE, ENTRANCE OTHER No. AMPS MOTORS.... ... .. H. P. CIRCUITS SIGNS ~, LIGHTING NEON EXT'R SIGN & 1 TRANSFORMER"~ ., HEATING _. NEON CNT'R SIGN &1 TRANSFORMER '~~ ADDITIONAL TRAN'SFORIvI°E~R~; "" ~ ~ ~" POWER SUB-CIRCUITS EXT. OR'fNT. UTILITY (RANGE DISPOSER =COOLER, FAN;DRYER,`WA"TE'R HEATER) N0. OF INCANDESCENT LIGHTS OTHER FIRE DETECTION-ALARM SYS'M. M KS~ ~1,, ~°~ ~ a ~ ~, \ AGENCY AUTHB RIZED DATE ~~,~'~ ~ ~7~I v` ~, 1~-PUBLIC -d'"'-~=-F ~ ~[1 ~~/oLN, ~>a >A~.s.P'~ II WORKS FOR INSPECTIONS OIi INF'ORNfATION'CALL 975$979 '"""' THE VALUATION OF EACH OF THE ABOVE UNITS SHALL EE`~CL UbE~I`N `T °}IE "C FOR ALL WORR DONE UNDER THIS PERKIIYY"R'E P`EfiM`IY COMPLIANCE WITH' Ti'~t "15'kYfaPY"A`L ELE'~C'I'RIGdE C'"ObE 'T1'7E"O)T~""~'f"°'"A$'p'E`H^"~'2 ALL OTHER CO'UNTY'RE'S01"ly"fYfYN$" C~7YOR~D R~N"~ES; STATE'YS~'SUS "f4~fOT'7T~`E PERMIT SURJ~E CT TO REVD CATION o`R"slicb~5~25'nCC"`""€n""i; ^Yns4'~."~XC°°~'sv"~w.~~asw umwlNO MAY EIE OCCUPIED. a / n VALUATION _~. :.,. ...,: OF WORK &~`~i"4°o ~ ^ PLAN ~~ T P ~ TOTAL FEE YAS "a"No„~.« FILED DOUBLE CHECK ~t~`aO~H~~YOu~~~XM1E. FEE ~ CASH ~ ~ pC`). ., '~ "~"' ~ ~ BUILDING'DEPdR TM`~~'FF""°"""""` ~~ THIS FORM IS A PE WHEN VALIDATED` 4PPROYAL B~ `~,J~..C../. (~/ [1ATE -ERMIT 'NO. LICENSE ~ RECEIPTS CLASS AMOUNT ti ASPEN *PITk~ CO'MIVIUI~IIT1' DEVELOPn~iVT DEPARTMENT 130 South Galena Street •.Aapen;Color•Eado H1611 City ofA'spenH70jJ20-5050 /: Pitkln County 570/520-5526 BUILDING INSPECTfON CHECK LIST Inspection ~ Reinspection Partial Complete ~rmitNo.'~n10 • (~ ^ STEEL (Rebar) ^ ELECTRIC ^ PLUMBING ^ MECHANICAL ^ APECC UILDING H ^ Footings ^ .Constr. Service ^ Underground ^ Rough ^ Foundation Insulation `~R-Frame ^ Caissons ^ Underground ^ Waste & Vent ^ Flue(s) ^ Slab Edge Insulation ^ Roof Ventilation ^ Wall ^ Rough ^ WaterPipe ^ GasLog ^ Insulation ^ Drywall ^ Wall Cores ^ Perm. Service ^ Gas Pipe ^ Combust. Aic ^ Glazing ^ Special ^ Struc. Slabs ^ Bonding ^ GasTag ^ Ventilation ^ Pool. ^ MobileHome ^ Pads ^ Special ^ *Fire Sprinklers ^ Kitch. Hood ^ Spa Fire Resistive ^ Piers ^ .Final ^ Final ^ Iri-Floor ^ Snowmelt Roof Coverings ^ Bond Beam ^ Final_ _ ^ Final ^ Zoning Final Accepted Accepted as Noted ^ Rejected ^ Reinspection Fee $ ^ You re required to make the following corrections do the construction which is now in progress: * Contact Fire Marshal for sgi'ihkler irisoection. 'No occupancy or use Note: rv. ~,, - ._ ~. .~,. wwi.uN ..A r.... ..w.KV, v ~ ,n. 'w-v ~.. ~.. .. 2+n'-.tA4 .. ,. ....: .i +..m~v.:w w... x.ma..i .: ,...:.. .., m .. .. n ..n': w s vsv.'F. =~.W.ri. •r mnn 'vti4Nx ..Arv JYJaMUoa Instructions to Inspector: ~ '-. - ~ +.... . -ww a.... .. z.xv .ur. mxr....:ne'.uifv. !m8ux:aii'v"eA` ;w~a^sv»t 'M.2:*kY .a ¢L:a N$YSl% .&w.dae.5ln:.K}i'P DESCRIPTION: # Stories Garage: Attached Detached: Carport Bedrooms _ Full Bath _ '/a Baths _ Yz Baths. _ Kitchen _ ACCESSORY UNIT: Livhg _Kitchen _Batli_Bedroom _ Other: ~ _ W~ . .. . ...... .... ... . _ Fire lace: Make: P GasA liance: pp Make: . ~ r , _.•,,,.., m._.. G L as og: Add ' " ' ~ d~ J t ~ `~ Q ` ress: 7 l ,1 ~ S J I ContactPhonet~~Y ~~ 3~~ ~~'/ ~C% Subdivision ~Ai TIME NAME Request Received It~?~ Contractor --- ~~~ - -. Requestfor M QT W Th F am pm TME: '"'aPe""BAOeP'~'"° /~ Owner 1;~ ,~1 ~ ; rm i C'~C+ G' ~i ) "` U' ' '~ . Date Insp. I ~ j Inspector t rG-~ W~ra/ ~ . n. ». ~ W .....,,. _,,.. ,": ,~,.~.,,, . ASPEN*f~'T"rCll~(""`~'~C ra~ I(`; `b~l'~i~-~°f'~~'"'~ -,.~. ,~ y BOB 'E`a'st "Tliisi'n Street ` _Y.K;s~~eri Colo +'`s~ ~ 'f'1"„""``«'"'°``•"'~`~F._ .. __ r ^". "- o ~ 303/926=697'3 ~:H ~1~1`~~IVV11V~rLV 1.~VA Inspection` !r"~ m Reinspection "''Partial ~ ~"~ Complete P i~ ~ ; - ermit,No.~ =C,~ ~ . Steel.. Elec;nc ~------'Plumbing Heating Building Footings Temp _,,. Underground Rough R-Frame Caissons ~ ..; Underground _. Waste & Vent Flue _ _ _ Insul. ~ Wall Swim Pool ~ Water Pipe ' F. P. Flue Drywall a Struot Slabs _ ., Rough Gas Glass'Door Special Damp Proof_ _ Service _ . Final Combust Air "_ Mobile Home '_ Foun. Insul. Final ~---- Fire Final `e Sprinklers -- Final ' Found Drain . StoveType~ Zoning ~' r _ ,y ~,...w F/RELIFE& SAFETY„ "" Kitch Hood ... _.: _. .M ~:,.. ..y., Accepted !/~ "Rejected' Remspeclion Fee $~f~~es - o No. Bdrms. " (You are ordered to make'the following corrections on the construction which is now 'in progress-at the address below) . ,. . '~" _. -,._.. ..,. .~,. a~ ,. ,> - ~ -, / ~ Instructions to Inspector _ „ , ~ - Kitchen_Tub__ Shower Lav WC Ice W Bar Tub/~ how -. ~idet,_~Hose Bib u ..,, .._._. ._ ~ _ er Jacuzzi Laund ~ ~ ~'"~~ ~-~~-"~~~~~ *~~' ~ ~ ~ ry_ Clothes W`as"(ier oft ub C~5 r _.~~ ~. D Jacuzzi w/Shower ' : City_ - e,> , _ County_ Time of Arrive)" "" ' ~ ~ Time of Departure / ~ fj7~ ' ; Address ~~~~~ ~ , ~~A ~ ~~'~,~~~ Phone Job ~ ~ ~ ~ .Office Subdivision __~-~a'`~ ./~.-z~f>/%C~ ~- `Request~Recd ~ ~~ ~ ~~ ~ ~ ~ " "~ ` '~ . Contractor .Y/l am//'~ -~ Date Time ' ~ -~ Request for M'T VV TH'*F°~; ~ Owner Rev. 4/86 ime ~ .J ~ . _(nspected'~Daje 4 '`~/~/ Inspector ~ ~~~jj,,., ~ -.~_.. ~' ~ ^ , /~ ~ ~~~ 1 C~9 l ~3 AFFIDAVIT OF OWNER-BUILDER Property Address: "/ 7 ~ C1 ~~4"4 r.1' '~ ~l.S' s .The :owner must sign this amaavit. i ne undersigned owner-builder has or will satisfactorily complete the examination for owner-builder. City of Aspen Ordinance No. 55, Series of 1999. Section 8.12.030. Pitkin County Ordinance No. 61, Series of 1999. Section 10-4. Issuance of permits only to license holders or agents, and owner-builders. (a) On any work requiring a building permit(s), the permit(s) shall be issued only to licensed contractors, authorized representatives of licensed contractors, and owner-builders. (b) For purposes of this article, an "owner-builder" is an individual personally engaged in the construction (new or remodel) of asingle-family residence or accessory building for his or .her own use. The following requirements shall apply to owner-builders seeking permits for construction: (1) The owner-builder shall not be issued more than one building permit for new home construction in any two year period and not more than one building permit at a time; (2) The owner-builder has read applicable regulations and provisions of this article and applicable state law and affirmed in writing that the proposed project will comply with all such requirements; (3) It is the responsibility of the owner-builder to see that all paid personnel shall be covered by worker's compensation insurance as required by state law; (4) The owner-builder must be present at the worksite during all inspections and conferences with the Building Division, unless prior arrangements have been made with the building officials. In the event that any of the requirements listed above are not met at any time during the course of a permitted project, the Chief Building Official may suspend or revoke the owner-builder's permit. In the case of a suspended building permit the owner-builder shall have a reasonable time to correct the problem. If not corrected within the time period, the permit may be revoked. In the case of either a suspended or revoked building permit, the owner-builder may ask for a review at the next scheduled building. code Board of Appeals meeting. All of the foregoing representations are true and correct. The owner-builder acknowledges and intends reliance on the representations in this affidavit as a basis for the issuance of a building permit for e project Owner-builder's signature Pnnt Name 1~ C ~' ~~ a Date February, 2000 tea,., .. ~' .~~_,~ ~0Ob2p0~ °° ~~ ,. r O ~ ~ •~ ~ W ~~ ~ ,:~. .~e __. ~..~. __.__ - __--j- ---~_ i tt ; I~ i II ; r ~ .' j l (~i(/.gY='4l~'~~ ~1 !i it j ~,' ~ I +e is `; t ~~ i It ' '; ,', f ~; ~ fmr ~FtFF.ks~, ~s ~ a ° ~,, i i ~ ; I ~, ,. . €~h- ,; ,3 ~ ,, ,~ , ~ ~ , 'r s t ~~ ~ ~ ~ ~ i ~ t~ ~` i ~~ ~I iI ' g j' ~ ~~ f r' ~ ~yy~/ ~os~"i \_~ ! a _. u~.RS-#es~, mow- ~ _ -' a ~~~" ~:1 a U, ~i ;...~ " u ~r ~ ~ --_~, ~ y ~ ~e-~~,~~ ~ ,~~~ ~~ ~~t~ p ~ ~ y': RECEIVq SEP 2 6 2003 U~,!" . ~i 20©3 PITKIN C©UNTY wilding BUILDING DEPARTMENT l _4 'So.~ Page ~ a-ar$ Prart~e aplar~, v lno~-~u~e .~, pre ~,o,~-t- r~,~f r Co~crP~{' Cvrrsga'~•~ YYJt~CG ._._ _..v_..-..- ~p Ik3 ~Y~~~ ~ S-~r4~6 ~'fl' 9C 6 •SUa(s N4+3t~- ~'o4s e .~~ rg,_,~, ~~r ,~ ti 2003 [r @ a ~.~ ~~.~ i ~ ~ ~ " y°'~ PITKIN COUNTY BUILDING DEPART4AENT =:a I . ~i 2003 wilding -- -- ..> i« s% ~ .ayo >•,