HomeMy WebLinkAboutFile Documents.905 Chatfield Rd.0111.2018 (18).ARBK COMMUNITY DEVELOPMENT DEPARTMENT
ELECTRICAL PERMIT APPLICATION
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
PROPERTY AND APPLICANT INFORMATION
Address __________________________________________________ Unit # ____________________________
Owner __________________________________________Parcel ID ___________________________________
Best Contact Name __________________________ Cell ___________________ E-mail ___________________
Electrical Contractor__________________________________________________________________________
Contractor City License #_____________________Cell ___________________ E-mail _____________________
WORK INFORMATION
Description of Work in Detail (For additions or alterations indicate type, number, and location of source circuits)
___________________________________________________________________________________________
___________________________________________________________________________________________
Electrical Valuation __________________________ Square Footage____________________________________
CommericalMulti-FamilySingle Family
Use of Building Class of WorkNewAdditionAlterationTemporary Service_______________
YesNo
Photovoltaic Installation?
YesNo
Exterior Lighting Added?
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.
For all work done under this permit, the permitee accepts full responsibility for compliance with the National Electric Code, the City of Aspen ordinances, and all other county resolutions, city ordinances, state laws, whichever applies. Permit subject to revocation or suspension for violation of any laws governing same. An accepted final electrical inspection shall be obtained prior to using the electrical system. A final electrical inspection shall be requested within 48 hours after completing an electrical installation.
Contractor Signature __________________________________________________Date____________________
OWNER/APPLICANT: The undersigned applicant to personally perform electrical work on the described property or residence hereby certifies, as a condition of issuance of such permit, that the above described property or residence is owned by the applicant; that the applicant is not engaged in the business of construction or remodel-ing; and such property is not intended for sale or resale, nor is it a rental property (occupied or to be occupied by tenants, whether transient or permanent), nor will it be generally open to the public. It is understood that compliance with these assurances is a condition of the issuance of an electrial permit to the applicant pursuant to the provisions of C.R.S. Section 12-23-111 (2) (as amended), and that failure to comply herewith will be grounds for revocation of the electrical permit or any certificate of oc-cupancy issued with respect to the property or residence described.
Owner Signature _____________________________________________________Date____________________ IF OWNER/BUILDER
Permit Fees SummaryPermit Fee __________Violation Notice __________Use Tax __________TOTAL DUE __________
Reciept History
Accepted:
By___________
Date_________
Utilities Review:
By___________
Date_________
Zoning Review:
By___________
Date_________
HPC Review:
By___________
Date_________
Approved:
By___________
Date_________
Issued:
By___________
Date_________
MASTER PERMIT: ______________________DATE:___________ PERMIT NUMBER: __________________________
January 2018
YesNo
Is your electric service provided by the City of Aspen?
YesNo
Are you installing new or increasing existing electric service?
(FEES MAY BE APPLICABLE)