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HomeMy WebLinkAboutMaster Permit.128 E Main St.0325.2017 (2).ARBK COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT CONTACT SHEET CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611 ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone City Mailing Address E-mailAddress State ZIP OWNER ___________________________________ _____________________ ________________________Name Phone E-mail FOR PLAN REVIEW QUESTIONS ___________________________________ _____________________ ________________________Name Phone E-mail FOR INSPECTION QUESTIONS ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone City Mailing Address E-mailAddress State ZIP OWNER’S AUTHORIZED AGENT ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone City Mailing Address E-mailAddress State ZIP APPLICATION BEST CONTACT ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone CityMailing Address E-mailAddress State ZIP ARCHITECT OR DESIGNER OF RECORD ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone CityMailing Address E-mailAddress State ZIP CIVIL ENGINEER OF RECORD ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone City Mailing Address E-mailAddress State ZIP STRUCTUAL ENGINEER OF RECORD /ŚĞƌĞďLJĐĞƌƟĨLJƚŚĂƚ/ŚĂǀĞƌĞĂĚĂŶĚĞdžĂŵŝŶĞĚƚŚŝƐĂƉƉůŝĐĂƟŽŶĂŶĚŬŶŽǁƚŚĞƐĂŵĞƚŽďĞƚƌƵĞĂŶĚĐŽƌƌĞĐƚ͘ůůƉƌŽǀŝƐŝŽŶƐŽĨůĂǁƐĂŶĚ ŽƌĚŝŶĂŶĐĞƐŐŽǀĞƌŶŝŶŐƚŚŝƐƚLJƉĞŽĨǁŽƌŬǁŝůůďĞĐŽŵƉůŝĞĚǁŝƚŚǁŚĞƚŚĞƌƐƉĞĐŝĮĞĚŚĞƌĞŝŶŽƌŶŽƚ͘dŚĞŐƌĂŶƟŶŐŽĨĂƉĞƌŵŝƚĚŽĞƐŶŽƚ ƉƌĞƐƵŵĞƚŽŐŝǀĞĂƵƚŚŽƌŝƚLJƚŽǀŝŽůĂƚĞŽƌĐĂŶĐĞůƚŚĞƉƌŽǀŝƐŝŽŶƐŽĨĂŶLJŽƚŚĞƌƐƚĂƚĞŽƌůŽĐĂůůĂǁƌĞŐƵůĂƟŶŐĐŽŶƐƚƌƵĐƟŽŶŽƌƚŚĞƉĞƌĨŽƌŵĂŶĐĞ ŽĨĐŽŶƐƚƌƵĐƟŽŶ͘/ƚŝƐŵLJƌĞƐƉŽŶƐŝďŝůŝƚLJƚŽƌĞǀŝĞǁƚŚĞĂƉƉƌŽǀĞĚƉůĂŶƐĂŶĚĂŶLJĐŽŵŵĞŶƚƐƚŚĂƚĂƌĞĐŽŶƚĂŝŶĞĚƚŚĞƌĞŽŶĂŶĚƐĞĞƚŚĂƚƚŚĞ ƐƚƌƵĐƚƵƌĞĂŶĚͬŽƌƉƌŽũĞĐƚŝƐďƵŝůƚŝŶĐŽŵƉůŝĂŶĐĞǁŝƚŚĂůůĂƉƉůŝĐĂďůĞĐŽĚĞƐ͘ ________________________________________________________ _____________________ContractorSignature Date /E^Wd/KE^͗dŚĞ'ĞŶĞƌĂůŽŶƚƌĂĐƚŽƌŵƵƐƚƐĐŚĞĚƵůĞŝŶƐƉĞĐƟŽŶƐŽŶůŝŶĞ͘ WůĞĂƐĞǀŝƐŝƚǁǁǁ͘ĂƐƉĞŶƉŝƚŬŝŶ͘ĐŽŵͬĞƉĂƌƚŵĞŶƚƐͬŽŵŵƵŶŝƚLJͲĞǀĞůŽƉŵĞŶƚͲ&ŽƌŵƐͬƚŽĚŽƐŽ͘ ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone CityMailing Address E-mailAddress State ZIP GENERAL CONTRACTOR ŚĞĐŬŝĨLJŽƵĂƌĞĂƚĞƐƚĞĚŽǁŶĞƌďƵŝůĚĞƌ;ƐŝŶŐůĞͲĨĂŵŝůLJŚŽŵĞƐŽŶůLJͿ͘zŽƵŵƵƐƚƚĂŬĞĂƚĞƐƚĂŶĚĐŽŵƉůĞƚĞƚŚĞŽǁŶĞƌͬďƵŝůĚŝŶŐĂĸĚĂǀŝƚ͘ ;/dzh^KE>zͿKǁŶĞƌďƵŝůĚĞƌĂƉƉƌŽǀĞĚďLJ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺĂƚĞ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺĸĚĂǀŝƚŽŶĮůĞ Z^^͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺWZD/dEhDZ͗ͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ August 2017 128 East Main Street Teraissa McGovern 970-544-0130 teraissa@brewstermcleod.com TBD BTRSardy, LLC 625 E Hyman Ave, Unit 201 Aspen CO 81611 sardyhouse@gmail.com Brewster McLeod Architects, Inc.970-544-0130 PO Box 697 Aspen CO 81612 jamie@brewstermcleod.com Teraissa McGovern 970-544-0130 PO Box 697 Aspen CO 81612 teraissa@brewstermcleod.com Brewster McLeod Architects, Inc.970-544-0130 PO Box 697 Aspen CO 81612 jamie@brewstermcleod.com