HomeMy WebLinkAboutChange Order.219 E Durant Ave.0175.2018.ARBKCity of Aspen General/Building Permit Application
130 South Galena Street, Aspen Permit No.:
Aspen, CO 81611
Phone (970) 920-5090 Fax (970) 920-5440 Master Permit No.:
Unit #:
Legal
Description
Block:
PROJECT INFORMATION
MECHANICAL
NO.NO.
FOR CITY USE ONLY
Census Code Occupancy Group Zone District # of Stories # of Dwellings Type of Construction:
APPROVALS Name Date
Zoning Plan Check Permit Fee Parks Impact
HPC Energy Code REMP School Ded.
Building Zoning 50%Hourly Plan
Check TDM Impact
Fire District Eng. Review Zoning Hourly
Review Ped. Amenity
Engineering Cons. Mit. 50%Engineering
Hourly
Housing Cash-
in-lieu
CMP Parks Review Zoning 50%Stormwater fee
in lieu
Utilities Other Cons. Mit. 50%City Use Tax
Water Electrical County Use Tax
Sanitation Plumbing GIS
Env. Health Mechanical Aspen San.
Dist.
Parks Utility Other
Approved to issue by:
Issued by:
PERMIT TYPE: BD CO DE FD FN MH MS RF SN
Gross Area This Permit (not FAR):
Repair, Alteration, or Addition
Water Closet (toilet), Bidet
Bathtub
Lavatory (wash basin)
Total Fixture Count
RECEIPTS:
Fees due at Submittal:
Shower
Kitchen Sink & Disposal
Dishwasher
Laundry Bar, Utility Sinks
Clothes Washer
Floor Sink
Floor Drain
Hose Bib
Square Footage
Valuation
PROJECT LOCATION
Lot:
Job Address:
Parcel ID (call 920-5160)
Valuation of Work: $
Tract or Subdivision:
Const. Mit. Sq. Ft.:Disturbed Area:Utility Affected Area:
Description of Work:
Use of Building:
Class of Work:
Parks Affected Area:Existing Gross Area of Unit (not FAR):
Fees due at Issuance:
FEES
Building Gross Sq. FootageAlarm System Req.Fire Sprinkler Req.
Lot Area
PLANS LOCATION:
Occupancy Load Deed Restricted
Unit Sq. Footage
Accepted by:
Other
PLUMBING
TYPE OF FIXTURE/ITEM
PLUMBING continued
Water Heater M/BTU ea.
Gas Systems: # of Outlets
Water Piping & Treating Equipment
Other
ELECTRICAL
Forced Air/Gravity Sys. BTU____ AFUE_____
Air Handling Unit - CFM
Wall, Suspended, or Unit Heaters
Evaporative Coolers
Snowmelt System Sq. Ft.
Ventilation Fans
Appliance Vents
Range Hood
Boilers, (includes vent) BTU_____ AFUE____
Gas Systems: # of Outlets
TYPE OF EQUIPMENT
Repair, Alteration, or Addition
Gas Log
Gas Appliance
nonoyesyes
Single Family Multi-Family Commercial/Residential Commercial
OtherNewAdditionAlterationRepair
Other
Move Tenant Finish Demo Change Order
0175.2018.ARBK
0130.2016.ARBK
273513106016DANCING BEAR RESIDENCES ASPEN
Rooftop Amenities have been added to the exterior patio.
100,000.00 0 0
02948
5
2
5
4
19
11
1 0
2
1
0
9/17/18
CS
KH 6/27/2018
08/24/2018 25.00
018700.00
07/26/2018 650.00
07/26/2018 325.00
0
TF
TF
0
0
06/29/2018
8/24/2018
PM
SW
JH
219 EAST DURANT AVENUE PH-20
4
4
0
6364
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General/Building Permit Application Page 2 Permit No.:
Master Permit No.:
For Plan Review Questions
For Inspection Questions
Alternate Phone No.
Alternate Phone No.
Alternate Phone No.
Alternate Phone No.
ELECTRICAL CONTRACTOR
Alternate Phone No.
MECHANICAL CONTRACTOR
Alternate Phone No.
PLUMBING CONTRACTOR
Alternate Phone No.
DateContractor Signature:Print Name
City License No.
Phone No.
USE TAX:The General Contractor or Owner Builder is required to pay a Use Tax Deposit to both the City of Aspen (2.1%, first $100,000 is exempt) and
Pitkin County (0.5%, no exemption) on the building permit at the time of issuance.
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.
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 has commenced unless approval is received from the Chief Building Official.
City License No.
Name Phone No.
Check if you are a tested owner builder (single family only). You must take a test and complete the owner/building affidavit
OWNER'S AUTHORIZED AGENT
Name:Phone No.Alternate Phone No.
City:
City:
CONTACT INFORMATION
Name Phone No.
Email
Contact Name:
Contact Name:Phone No.
Phone No.
STRUCTURAL ENGINEER OF RECORD
PLEASE PROVIDE ANY ADDITIONAL INFORMATION THAT MAY HELP US CONTACT YOU FOR ANY QUESTIONS REGARDING YOUR BUILDING PERMIT APPLICATION
Name
Mailing address City Zip
Phone No.
LANDSCAPE ARCHITECT OF RECORD
City
Name
E-mail Address:
Alternate Phone No.
OWNER
GENERAL CONTRACTOR
Zip:
Name:Phone No.
E-mail Address:
Name:
Mailing address:
Phone No.
E-mail Address
ARCHITECT OR DESIGNER OF RECORD
Mailing address:
Mailing address:
City:
Mailing address Zip
Phone No.
(CITY USE ONLY) Owner builder approved by:________________________Date:______________________ Affidavit on file
INSPECTIONS: The General Contractor must schedule inspections online at www.aspenpitkin.com/Departments/Community-Development-Forms/
Zip:
Zip:
E-mail Address:
Phone No.
Zip
Name
Email City License No.
E-mail Address
E-mail Address
Mailing address City
Name
Email
0175.2018.ARBK
970-948-6659
970-948-0480
adamrothberg@comcast.net
david@djarchitects.com
0130.2016.ARBK
Kevin Michelson
Adam Rothberg
Adam Rothberg 12/7/2016
David Johnston
Rotherberg Development
Mediterranean Avenue LLC 920-1280
925-3444
948-0480
948-6659
81611Aspen623 East Hopkins Ave.
822 Bonita Drive Aspen 81611
119 South Spring St. Ste. 203 Aspen 81611
06/27/2018
General/Building Permit Application Checklist Permit No.:
Master Permit No.:
GLOBAL CHECKLIST
Please place a checkmark beside each item that applies to your project scope
None of the Above
Work occurs in public right of way
Work within City Mall Boundaries
Part of an approved COA Land Use Review
Disturbs soil equal to or exceeding 1,000 Sq Ft
within 12 months
Work adds/removes/changes plumbing fixtures
Work affects net leasable or net livable space Work involves Roof Penetrations
Involves Restaurant/Food Service
Within Landmark Parcel or Historic District
Work affects Trees or occurs within the Dripline
of a Tree
Affects Parking Spaces, Parking Meters, Loading
Zones, or Alleys
Located in a 100-year flood plane or within 100'
of high water mark
Work involves digging or excavation
Adding Structures or Systems over Utility Lines
Exterior Lighting added Work involves exterior wall penetrations
0175.2018.ARBK
0130.2016.ARBK
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