HomeMy WebLinkAboutFile Documents.614 North St.0248.2017 (21).ARBKASPEN LINE GRADE VERIFICATION FORMASPEN LINE GRADE VERIFICATION FORM
Webpage: http://www.aspenpitkin.com/pdfs/depts/41/linegradeverificationform.pdf Rev. 04-08
Verification of Building Location by Building Contractor
For Building and Permit Information, please refer to our website at:
http://www.aspenpitkin.com/depts/41/
Exemption
A City verification of building location is not needed when the project creates less the 200 square feet of new floor area.
PART A: Complete and Submit as part of the Building Permit Application
o Building / Job Address or Location: _____________________________________________
o Your Name (Person Completing Part A): ____________________________________________
o Your Company: ________________________________________________________________
o Plans must show horizontal dimensions that ‘tie’ the building to the property boundary.
Are building ties shown? (circle one) ‘Yes’ ‘No’
o An elevation benchmark needs to be established on the site by a licensed surveyor and shown on the plans. What is the
elevation of this benchmark? _________________________________
o If the garage is located within 10 feet of the roadway or sidewalk, provide spot elevation on the on the roadway or sidewalk.
Is a spot elevation shown? ‘Yes’ ‘No’ ‘N/A’
o Provide the equation comparing site (surveyed) elevation to structure/ architectural plan elevation:
(i.e., 100’ first floor elev = 7962.50’) _______________________________
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PART B: Complete prior to first Foundation Inspection, by a licensed surveyor or an individual prequalified by the City
o Do field measured building ties to property match building ties shown on the plan? (circle one): ‘Yes’ ‘No’
o Surveyor needs to confirm that one spot on the top of the foundation wall is at the same elevation shown on the approved
building plans.
o What is the field measured elevation of top of foundation wall relative to the site bench mark? ____________
o According to the building plans, what was the design elevation for the same place on the foundation wall?
______________________________
o Was the elevation of the building adjusted in field? (circle one): ‘Yes’ ‘No’
o If yes, why? ________________________________________________
The undersigned qualified individual certifies that the information in Part B is accurate -
Signature: Date: _
Printed Name: Contact ph. # : ____________________
Company: ______________________________________________________________
614 W NORTH ST
RYAN LEE
FORUM PHI
7891.05
7891'-9"= 100'-0"
10/11/17