HomeMy WebLinkAboutFile Documents.614 North St.0248.2017 (25).ARBKBUILDING PERMIT 'SSUANCE
Job Admss Bldg, Permit Q2482017ARBK
U.C.P.No. C-113-059
694 W NORTH ST 13PEN WATER DEPARTMENT
130 SOUTH GALENA STREET E U IAL
ASPEN, CO 01611 0.81
NOTE: THE WATER SERVICE AGREEMENT PORTION OF THIS FORM CAN ONLY BE USED FOR
CONNECTIONS NOT REQUIRING WATER MAIN EXTENSIONS.
UTILITY CONNECTION PERMIT AND WATER SERVICE AGREEMENT
THIS PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUE IF UTILITY CONNECTION HAS NOT BEEN
_.-. _.._.. .,....a..., r
Ct grope v ocale Tha mprovomonls are: Wata servlco requirements:
CITY toiGry F [�up@Y �th [� erUa1 rn rV ®„tl„y Tap QQ ba do ,i E,izt n9 Tap
UTILITY INVESTMENT CHARGE See attached NET ECU SERVICE AREA CHARGE TOTAL --4
UTILITY HOOK UP CHARGE BILLED AFTER TAP PERFORMED 0 81 S 5,7°5.90 54.89221
CASH IN LIEU OF WATER RIGHTS water service outsido Cit ilm"3 onl WATER RIGHTS DEDICATED
WELL DEVELOPMENT CHARGES fJ00 PER ECU
PREVIOUS FEES PAID
SIZE OF DOMESTIC LINE 1.0" ISIZE OF FIRE LINE TAP NIA TOTAL CONNECTION FEE DUE
$4692,21
avr. rcrrmrr tnve't lit WGNED/PAID WJTHA CHECK MADE PAYABLET'O THECITYOFASPEN
Use to be Served: This permd rerrecls the tap leesdw fa fha roraiaG'cn a!f/ra axrUm SFR n! O7J W, Nwth sheet. Anew 1.0'f is fobs nmda a4er abandbrimml a1
Nw nrLU122 914' (an let if's sa-, Cd) /s WhAFelad mud wdnessed by V lafr, pet,,e(munl personnel and (ap leas ara p<yd AJl ruckus ae ccoarklm SuDreU fo Ac k 1 dnd , yf>r n k fan
h es mn Da du++ N fin,'d o+ns dlmr when a (ar9 Fxhre cce n! rs c etM Phase ca7429-1914 mlh uasl/ons agwrt this_mq Call 9M-5110 (o qzherdo lino kcates amt to
_schedule vour new tap
"'-ore than 1 service [mets) is (are) allowed under this Permit- Each must be controlled separately at its own curb valve.
Applleation must be made to the Water Department for additional service Ones.
Water Rights Conveyed To The City:
WATER WILL BE BILLED ON A MON-HLY BASIS FROM DATE OF TAP THE ORDINANCES OF CIN OF ASPEN REQUIRE, AMONG OTHER THINGS,
UNLESS ARRANGEMENTS ARE MADE WITH THE WATER' THAT OWNERS OF ANY PROPERTY OUTSIDE THE CITY LIMITS MUST, AS A
DEPARTMENT TO HAVE THE CURB VALVE CLOSED. SHOULD THE CONDITION OF RECEIVING CITY WATER SERVICE, (1) PROVIDE EITHER
CURB VALVE BE FOUND OPEN WITHOUT PERMISSION, WATER WILL WATER RIGHTS ACCEPTABLE TO THE CIT/ OR CASH IN LIEU OF WATER
BE BILLED BACK TO DATE OF TAP UTILITY INVESTMENT FEES FOR RIGHTS IN ORDER TO RECEIVE THE WATER SERVICE, AND (2) AGREE TO
FEATURES LISTED ON ATTACHED WORKSHEET ARE SUBJECTED TO ANNEX THEIR PROPERTYTO THE CITY OF ASPEN WHEN REQUESTED BY
REVISION UPON SURVEY OF COMPLETED STRUCTURE ALL THE CITY TO DO SO BY OBTAINING WATER SERVICE PURSUANT TO THIS
ADDITIONS TO STRUCTURE AT LATER DATE ARE SUBJECT TO UTILITY CONNECTION PERMIT, OWNER OF THE SUBJECT PROPERTY
ADDITIONAL FEES AS DETERMINED BY THE WATER D _ NT - AGREES THE SUBJECT PROPERTY WILL BE ANNEXED TO THE GIN OF
SPEN AT SUCH TIME AS CITY SHALL REQUEST, AND THAT THE OWNER OF
THIS PERMIT INCLUDES <3,00e SQUARE FE c SUBJECT PROPERTY WILL PAY ALL COSTS ASSOCIATED WITH
PROGRAMMED SPRINKLER IRRIGATED LAWN IRRIGATION OF ADDITI0IJAA W N,VEXATION
SQUARE FOOTAGE WILL REQUIRE ADDITIONAL CONN'ECTICN CHARGES THIS AGREEMENT WILL BE RECORDED AND IS BINDING ON OWNER, HIS
,�,99''1,J HEIRS. SUCCESSORS AND ASSIGNS
THE CITY SHALL BE THE SOLE PROVIDER OF ALL WATER r1y1�aE 0)1 •? • THE WATER SERVICE PROVIDED BY THE CrYUNDERTHIS UTILITY
TO THE SUBJECT PROPERTY FOR ALL PURPOSES, INGLU NCI) n. U I S,§ CONNECTION PERMIT IS SUBJECT TO, AND ALL OWNERS OF THE SUBJECT
IRRIGATION WITHOUT THE CITY'S WRITTEN PERMISSION, THERE PROPERTY ARE BOUND BY, ALL APPLICABLE PROVISIONS OF THE
SHALL BE NO USE OF RAW WATER FOR IRRIGATIOffhhPP��11�iP ES, O CHARTER OF THE CITY OF ASPEN AND THE ASPEN MUNICIPAL CODE, AS
AND NO OWNER OR OCCUPANT OF THE SUBJECi'RRO�E WILL WELL AS ALL APPLICAELE RULES, POLICIES OR REGULATIONS OF THE CITY
DEVELOP OR UTILIZE AN INDEPENDENT RAW WATER SYSTEM '� NOW IN EFFECTOR AS MAY BE HERE A=TER ADOPTED
ANDIOR WATER RIGHTS OR WELLS WITHIN THE St@B MT j � G''>� r7j
ALL WELLS LOCATED ON THE SUBJECT PROPERTY STy$5 gg XISITING TAPS TO BE ABANDONED MUST BE PHYSICALLY SEVERED
PROPERLY PLUGGED AND SEALED AS REWIRED BYY ROL If6OFi , I S I 1r { [�j SOPA THE CITY SYSTEM NOTE: THE UNDERSIGNED SHALL BE
a �SPONSIBLE FOR SCHEDULING AN WSPECTION BV THE CITY OFALL
THE COLORADO STATE ENGINEER'S RECUlAT101•IS, OR ANY ABANDONED TAPS, SERVICE LINES, METER INSTALLATION AND CAPPED
AMENDMENT OR REVISION OF THAT RULE IT IS THE ULTIMATE S A CONDITION OF PRECEDENT TO COMMENCING SERVICE
REPONSIBILITY OF THE WELL OWNER TO HAVE A WELL PROPERLY /
PLUGGED AND SEALED WATER RIGHTS ASSOCIATED WITH SUCH THE UNDERSIGNED REPRESENTS THAT HE/SHE IS THE OWNOER OF THE
WELLS MUST BE ASSIGNED TO THE CITY OF ASPEN BEFORE SUBJECT PROPERTY AND HAS READ, UNDERSTANDS AND AGREES TO THE
WATER SERVICE WILL BE EXTENDED TO SUCH PROPERTY TERMS OF THIS UTILITY CONNECTION PERMIT AND WATER SERVICE
EVIDENCE OF'NELL ABANDONMENT MUST BE PROVIDED TO CITY AGREEMENT
OF ASPEN PRIOR TO ISSUANCE OF CERTIFICATE 0= OCCUPANT
AODITIONALLY, A RECORDED COPY OF THE COLORADO STATE
WELL ABONDCNMENT FILING MUST BE PROVIDED TO CITY OF
ASPEN WITHIN 90 DAYS OF ABANDONMENT
Other Conditions: All lees must be paid In full. Tha o(okd must moot current Aspen Water tandards Water malar must pass Insim ton All connection to pre-
-lapped service Imes mutt be witnessed by Water Deoartment�orsonnel Prokd fssubtoct to 6041 Nxtur"oun"his VillItyCOtme mP rill do0%not Ina do ---
Irrlpallon A separate oermlt must be Issued (f conslructlon Is belnp deno on the subkct ore a count shall be on a cwlsirudfon rale fo 1 months
inspection.
Inspection I
Iron rho date that the tap Is made. At the and of nine 191 months the ac nt " i 1hall u lha htpher Rat rate until Millar tar alar la seri Installed and passes
5/14/18 S
Signature of Owner of Subject Pn'arty: Date AAspQ "' al CityData
existing service lines) has (have) been aband ad at the main, Witnessed by:
9 Size 1 v�
The ECU's assigned by this permit have been verified by on J 1 (� �t
f3erordinance specifications.
SSTH
ST
DATE
D 72018
WWNORTH
LOT BLOCK
SUBDIVISION
N 14 S 15UMBER
PARCEL ID
p OF METERS
HALLA.41 ADOPTION
273.512112006
0-02SERVICE
SERVICE AREA
ME
AREA 1
RYAN LEE
OWHEN MAILING ADDRESS
715 W MAIN ST SUITE 204 ASPEN, CO 81611
OWNER EMAIL ADDRESS
RLEE9FORUAIPHI.CQM
Tho L blaell and subdivision set forth above describe the orppedv in hn a•,,,.,,n .,,>.�.e, to ...�,,,. ,.. .......... ...... _
_.-. _.._.. .,....a..., r
Ct grope v ocale Tha mprovomonls are: Wata servlco requirements:
CITY toiGry F [�up@Y �th [� erUa1 rn rV ®„tl„y Tap QQ ba do ,i E,izt n9 Tap
UTILITY INVESTMENT CHARGE See attached NET ECU SERVICE AREA CHARGE TOTAL --4
UTILITY HOOK UP CHARGE BILLED AFTER TAP PERFORMED 0 81 S 5,7°5.90 54.89221
CASH IN LIEU OF WATER RIGHTS water service outsido Cit ilm"3 onl WATER RIGHTS DEDICATED
WELL DEVELOPMENT CHARGES fJ00 PER ECU
PREVIOUS FEES PAID
SIZE OF DOMESTIC LINE 1.0" ISIZE OF FIRE LINE TAP NIA TOTAL CONNECTION FEE DUE
$4692,21
avr. rcrrmrr tnve't lit WGNED/PAID WJTHA CHECK MADE PAYABLET'O THECITYOFASPEN
Use to be Served: This permd rerrecls the tap leesdw fa fha roraiaG'cn a!f/ra axrUm SFR n! O7J W, Nwth sheet. Anew 1.0'f is fobs nmda a4er abandbrimml a1
Nw nrLU122 914' (an let if's sa-, Cd) /s WhAFelad mud wdnessed by V lafr, pet,,e(munl personnel and (ap leas ara p<yd AJl ruckus ae ccoarklm SuDreU fo Ac k 1 dnd , yf>r n k fan
h es mn Da du++ N fin,'d o+ns dlmr when a (ar9 Fxhre cce n! rs c etM Phase ca7429-1914 mlh uasl/ons agwrt this_mq Call 9M-5110 (o qzherdo lino kcates amt to
_schedule vour new tap
"'-ore than 1 service [mets) is (are) allowed under this Permit- Each must be controlled separately at its own curb valve.
Applleation must be made to the Water Department for additional service Ones.
Water Rights Conveyed To The City:
WATER WILL BE BILLED ON A MON-HLY BASIS FROM DATE OF TAP THE ORDINANCES OF CIN OF ASPEN REQUIRE, AMONG OTHER THINGS,
UNLESS ARRANGEMENTS ARE MADE WITH THE WATER' THAT OWNERS OF ANY PROPERTY OUTSIDE THE CITY LIMITS MUST, AS A
DEPARTMENT TO HAVE THE CURB VALVE CLOSED. SHOULD THE CONDITION OF RECEIVING CITY WATER SERVICE, (1) PROVIDE EITHER
CURB VALVE BE FOUND OPEN WITHOUT PERMISSION, WATER WILL WATER RIGHTS ACCEPTABLE TO THE CIT/ OR CASH IN LIEU OF WATER
BE BILLED BACK TO DATE OF TAP UTILITY INVESTMENT FEES FOR RIGHTS IN ORDER TO RECEIVE THE WATER SERVICE, AND (2) AGREE TO
FEATURES LISTED ON ATTACHED WORKSHEET ARE SUBJECTED TO ANNEX THEIR PROPERTYTO THE CITY OF ASPEN WHEN REQUESTED BY
REVISION UPON SURVEY OF COMPLETED STRUCTURE ALL THE CITY TO DO SO BY OBTAINING WATER SERVICE PURSUANT TO THIS
ADDITIONS TO STRUCTURE AT LATER DATE ARE SUBJECT TO UTILITY CONNECTION PERMIT, OWNER OF THE SUBJECT PROPERTY
ADDITIONAL FEES AS DETERMINED BY THE WATER D _ NT - AGREES THE SUBJECT PROPERTY WILL BE ANNEXED TO THE GIN OF
SPEN AT SUCH TIME AS CITY SHALL REQUEST, AND THAT THE OWNER OF
THIS PERMIT INCLUDES <3,00e SQUARE FE c SUBJECT PROPERTY WILL PAY ALL COSTS ASSOCIATED WITH
PROGRAMMED SPRINKLER IRRIGATED LAWN IRRIGATION OF ADDITI0IJAA W N,VEXATION
SQUARE FOOTAGE WILL REQUIRE ADDITIONAL CONN'ECTICN CHARGES THIS AGREEMENT WILL BE RECORDED AND IS BINDING ON OWNER, HIS
,�,99''1,J HEIRS. SUCCESSORS AND ASSIGNS
THE CITY SHALL BE THE SOLE PROVIDER OF ALL WATER r1y1�aE 0)1 •? • THE WATER SERVICE PROVIDED BY THE CrYUNDERTHIS UTILITY
TO THE SUBJECT PROPERTY FOR ALL PURPOSES, INGLU NCI) n. U I S,§ CONNECTION PERMIT IS SUBJECT TO, AND ALL OWNERS OF THE SUBJECT
IRRIGATION WITHOUT THE CITY'S WRITTEN PERMISSION, THERE PROPERTY ARE BOUND BY, ALL APPLICABLE PROVISIONS OF THE
SHALL BE NO USE OF RAW WATER FOR IRRIGATIOffhhPP��11�iP ES, O CHARTER OF THE CITY OF ASPEN AND THE ASPEN MUNICIPAL CODE, AS
AND NO OWNER OR OCCUPANT OF THE SUBJECi'RRO�E WILL WELL AS ALL APPLICAELE RULES, POLICIES OR REGULATIONS OF THE CITY
DEVELOP OR UTILIZE AN INDEPENDENT RAW WATER SYSTEM '� NOW IN EFFECTOR AS MAY BE HERE A=TER ADOPTED
ANDIOR WATER RIGHTS OR WELLS WITHIN THE St@B MT j � G''>� r7j
ALL WELLS LOCATED ON THE SUBJECT PROPERTY STy$5 gg XISITING TAPS TO BE ABANDONED MUST BE PHYSICALLY SEVERED
PROPERLY PLUGGED AND SEALED AS REWIRED BYY ROL If6OFi , I S I 1r { [�j SOPA THE CITY SYSTEM NOTE: THE UNDERSIGNED SHALL BE
a �SPONSIBLE FOR SCHEDULING AN WSPECTION BV THE CITY OFALL
THE COLORADO STATE ENGINEER'S RECUlAT101•IS, OR ANY ABANDONED TAPS, SERVICE LINES, METER INSTALLATION AND CAPPED
AMENDMENT OR REVISION OF THAT RULE IT IS THE ULTIMATE S A CONDITION OF PRECEDENT TO COMMENCING SERVICE
REPONSIBILITY OF THE WELL OWNER TO HAVE A WELL PROPERLY /
PLUGGED AND SEALED WATER RIGHTS ASSOCIATED WITH SUCH THE UNDERSIGNED REPRESENTS THAT HE/SHE IS THE OWNOER OF THE
WELLS MUST BE ASSIGNED TO THE CITY OF ASPEN BEFORE SUBJECT PROPERTY AND HAS READ, UNDERSTANDS AND AGREES TO THE
WATER SERVICE WILL BE EXTENDED TO SUCH PROPERTY TERMS OF THIS UTILITY CONNECTION PERMIT AND WATER SERVICE
EVIDENCE OF'NELL ABANDONMENT MUST BE PROVIDED TO CITY AGREEMENT
OF ASPEN PRIOR TO ISSUANCE OF CERTIFICATE 0= OCCUPANT
AODITIONALLY, A RECORDED COPY OF THE COLORADO STATE
WELL ABONDCNMENT FILING MUST BE PROVIDED TO CITY OF
ASPEN WITHIN 90 DAYS OF ABANDONMENT
Other Conditions: All lees must be paid In full. Tha o(okd must moot current Aspen Water tandards Water malar must pass Insim ton All connection to pre-
-lapped service Imes mutt be witnessed by Water Deoartment�orsonnel Prokd fssubtoct to 6041 Nxtur"oun"his VillItyCOtme mP rill do0%not Ina do ---
Irrlpallon A separate oermlt must be Issued (f conslructlon Is belnp deno on the subkct ore a count shall be on a cwlsirudfon rale fo 1 months
inspection.
Inspection I
Iron rho date that the tap Is made. At the and of nine 191 months the ac nt " i 1hall u lha htpher Rat rate until Millar tar alar la seri Installed and passes
5/14/18 S
Signature of Owner of Subject Pn'arty: Date AAspQ "' al CityData
existing service lines) has (have) been aband ad at the main, Witnessed by:
9 Size 1 v�
The ECU's assigned by this permit have been verified by on J 1 (� �t
f3erordinance specifications.