HomeMy WebLinkAboutChange Order.415 E Hyman Ave.0033.2018.ACBK COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT APPLICATION
MASTER PERMIT: ______________________DATE:___________
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
PROPERTY INFORMATION
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PERMIT NUMBER: __________________________
CommericalMulti-FamilySingle Family
Use of Building Class of Work
NewAdditionAlterationRepair
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YesNo
Will there be any roof/wall penetrations?
NOTICE: This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is commenced.
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PROJECTVALUATION
SQ FT OF WORK AREA
UNIT SQ FT
SQ FT OF LAND-SCAPE WORK
SQ FT OF ROOMS WITH UTILITY WORK
LOT SIZE(SQ FT)
PROJECT DETAILS
Mixed-Use IFFRTenant FinishDemolitionChange Order
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ADDRESS UNIT #PARCEL ID #
BLOCK TRACT OR SUBDIVISIONLOT
DESCRIPTION OF WORK IN DETAIL
FOR CITY USE ONLY
Plan Check Permit Fee Parks Impact
Energy Code REMP School Ded.
Zoning (50%)Plan Check
(Hourly)
TDM Impact
Engineering Review Zoning (Hourly)Ped. Amenity
CMP (50%)Engineering
(Hourly)
Housing Cash in Lieu
Parks Review Zoning (50%)Stormwater
Utility Review CMP (50%)City Use Tax
Other Electrical County Use Tax
Plumbing GIS
Mechanical Sanitation
SUBMITTAL FEES ISSUANCE FEES
__________________PLANS LOCATION
_________Lot Area
_________Zone District
_________Deed Restricted
_________Census Code
_________# of Dwellings
APPROVALS
ISSUANCE FEES
BEST CONTACTNAME CELL EMAIL
OWNER NAME CELL EMAIL
____Toilets, Bidets ____Bathtub____Lavatory (Wash Basin)____Shower____Kitchen Sink (+Disposal)____Dishwasher____Laundry Bar, Utility Sink____Clothes Washer ____Floor Sink____Floor Drain____Shower____Water Heater (Pan Req)____# Gas Outlets____Water Treatment____Other_________
Fixture Counts
____Forced Air/Gravity Systems
____Wall, Suspended, or Unit Heaters
____Gas Log
____Gas Appliancew____Appliance Vents____Heat, Refrig, Cooling, or
Absorption Unit
____Boilers (includes vent)
____Air Handling Unit
____Cooling Systems____Ventilation Fans____Range Hood
____# of Gas System Outlets
____Snowmelt System Sq Ft_________
Equipment Checklist
Zoning
HPC
Building
Fire
Engineering
CMP
Utilities
Water
Stormwater
Sanitation
Env. Health
Parks
Landscape
Efficiency
Approved
To Issue
Issuance
ReviewRequired Date ApprovedReviewingDepartmentReviewerInitials
Call Assessor (970-920-5160) to verify
NEW SQ FT
Details Term DefinitionsProject Valuation: Cost of project as defined in Valuation Affadavit.Sq Ft of Work Area: Total square footage of area undergoing change or reconfiguration.Unit Sq Ft: Gross Square Footage, not FAR, of permitted unit.Lot Size: Total surveyed square footage of property.Sq Ft of Landscape Work: Square footage of disturbed exterior area.New Sq Ft: Total added square footage for additions to net livable or net leasble space.Sq Ft of Rooms with Utility Work: Total square footage, not FAR, of all rooms with plumbing work.DO YOU LIKE DOGS?
August 2017
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT CONTACT SHEET
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
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Name Phone Cell Phone
CityMailing Address
E-mailAddress
State ZIP
OWNER
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FOR PLAN REVIEW QUESTIONS
___________________________________ _____________________ ________________________Name Phone E-mail
FOR INSPECTION QUESTIONS
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Name Phone Cell Phone
CityMailing Address
E-mailAddress
State ZIP
OWNER’S AUTHORIZED AGENT
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Name Phone Cell Phone
CityMailing Address
E-mailAddress
State ZIP
APPLICATION BEST CONTACT
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Name Phone Cell Phone
CityMailing Address
E-mailAddress
State ZIP
ARCHITECT OR DESIGNER OF RECORD
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Name Phone Cell Phone
CityMailing Address
E-mailAddress
State ZIP
CIVIL ENGINEER OF RECORD
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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.
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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