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HomeMy WebLinkAboutMaster Permit.205 S Mill St.0078.2018 (2).ACBK 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 CityMailing 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 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. It is my responsibility to review the approved plans and any comments that are contained thereon and see that the structure and/or project is built in compliance with all applicable codes. ________________________________________________________ _____________________ContractorSignature Date /NSPEd/ONS: dhe 'eneral ontractor must schedule insƉections online͘ Please ǀisit www͘asƉenƉitkin͘comͬDeƉartmentsͬommunityͲDeǀeloƉmentͲFormsͬ to do so͘ ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone CityMailing Address E-mailAddress State ZIP GENERAL CONTRACTOR Check if you are a tested owner builder (single-family homes only). You must take a test and complete the owner/building affidavit. (CITY USE OELY) Owner builder approved by͗________________________Date͗______________________ Affidavit on file ADDRESS͗ ____________________________PERMIT EUMBER͗ _______________________________ August 2017 Scot Broughton 927-0552 sbarchitectsco@mac.com Ian Walker 379-7622 walkerconstinc@gmail.com Mill Street Plaza Assoc LLC 602 E Cooper Ave., Suite 202 Ian Walker 379-7622 walkerconstinc@gmail.com Box 350 Basalt CO 81621 Scot Broughton 927-0552 379-6695 Box 4096 Basalt CO 81621 sbarchitectsco@mac.com Scot Broughton Box 4096 sbarchitectsco@mac.com 927-0552 379-6695 Basalt 81621CO N/A N/A Walker Construction Inc Box 350 walkerconstinc@gmail.com 379-7622 Basalt CO 81621 07/13/2018