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Home My WebLink AboutMaster Permit.612 W Francis St.0144.2019.ARBK COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT CONTACT SHEET CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611 ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ Name Phone Cell Phone CityMailing 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 CityMailing 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 CityMailing 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 INSPECTIONS: The General Contractor must schedule inspections online. Please visit www.aspenpitkin.com/Departments/Community-Development-Forms/ to do so. ___________________________________ _____________________ _____________________ ________________________________________ __________________ _________ ____________ _______________________________________________________________________________________ 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 ONLY) Owner builder approved by:________________________Date:______________________ Affidavit on file ADDRESS: ____________________________PERMIT NUMBER: _______________________________ August 2017 612 W Francis Dana Ellis 970-429-8707 dana@rowlandbroughton.com Joel Hocknell 970-948-9354 joelhocknell@gmail.com Westend 2019 LLC 612 W Francis Aspen CO 81611 Dana Ellis 500 W. Main Street Aspen 970-429-8707 203-610-7633 dana@rowlandbroughton.com Dana Ellis - see above John Rowland 81611CO 500 W. Main Street Aspen CO 81611 970-544-9006 Brett McElvain - KL&A 970-510-5701 Joel Hocknell 970-948-9354 joelhocknell@gmail.com 06/03/2019 0144.2019.ARBK