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HomeMy WebLinkAboutChange Order.535 E Hyman Ave.0044.2018 (4).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 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 535 E. Hyman Ave, Unit 103 & 104 David Rybak 925-1125 dave@daverybak.com Greg Woods 948-6483 greg@gfwoods.com Aspen Core Ventures, LLC.= 407 S. Hunter St. #3 Aspen CO 81611 David Rybak 925-1125 948-1012 Rybak Architecture & Development P.C.925-1125 948-1012 600 E. Hopkins Ave., Suite 303 Aspen CO 81611 dave@daverybak.com G. F> Woods Construction 544-1833 948-6483 430 E. Hyman Ave. Aspen CO 81611 greg@gfwoods.com