HomeMy WebLinkAboutChange Order.211 Cottonwood Ln.0176.2019 (2).ARBK
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT APPLICATION
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
PROPERTY INFORMATION
___________________________________ _________ ___________________________
______________ ______________ ________________________________________
_________________________ _______________ __________________________________
________________________ _______________ __________________________________
CommericalMulti-FamilySingle Family
Use of Building Class of Work
NewAdditionAlterationRepair
________
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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_______________ _______________ _______________
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PROJECTVALUATION
SQ FT OF BUILDING WORK AREA
UNIT SQ FT
SQ FT OF SOILDISTURBANCE
BUILDING FOOTPRINT
LOT SIZE(SQ FT)
PROJECT DETAILS (READ DEFINITIONS BELOW)
Mixed-Use IFFRTenant FinishDemolitionChange Order
________
ADDRESS UNIT #PARCEL ID #
BLOCK TRACT OR SUBDIVISIONLOT
DESCRIPTION OF WORK IN DETAIL
Building
Review
Building
Permit Fee Parks Impact
Engineering
Review
Zoning
Review (50%)
School Lands
Dedication
Zoning
Review (50%)
CMP (50%)TDM Impact
Energy Code
Review
REMP
Payment
Pedestrian
Amenity
CMP (50%)GIS Housing Cash in Lieu
Parks Review City Use
Tax Water Tap
Utility Review County Use
Tax Sanitation
SUBMITTAL FEES ISSUANCE FEES
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____Water Heater (Pan Req)____# Gas Outlets____Water Treatment____Other_________
Fixture Counts Important Review Triggers
PC
Zoning
HPC
Building
Fire
Engineering
CMP
Water
Stormwater
Sanitation
Env. Health
Parks
Landscape
Efficiency
Approved
To Issue
Issuance
Date ApprovedReviewingDepartmentReviewerSign-Off
NEW SQ FT
Project Valuation: Cost of project as defined in Valuation Affadavit.Sq Ft of Building Work Area: Total square footage of interior 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 Soil Disturbance: Exterior area of the lot where the ground is disturbedNew Sq Ft: Total added square footage for additions to net livable or net leasable space.Building Footprint: Grade floor square footage of the permitted structure.Hardscape Area: Square footage of impervious lot surface.Zone District: Underlying zone district of permitted parcel.
January 2019
DATE:___________ MASTER PERMIT:______________________ PERMIT NUMBER:__________________________
__________________________________________________________________________________
__________________________________________________________________________________
HARDSCAPEAREA
NeedsReview
DEFINITIONSZONEDISTRICT
Major Engineering Review• Projects involving less than 50% hardscape area and work affecting 75% or greater of unit sq ft• Projects involving greater than 50% hardscape area and work affecting 50% or greater of unit sq ft• Projects involving 1,000+ sq ft of soil disturbance area
Water Efficient Landscaping• Projects that trigger a major engineering review • Projects involving interior alterations affecting 50% or more of exisiting gross square footage
THIS SECTION MUST BE COMPLETED IN ITS ENTIRETY
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
COMMUNITY DEVELOPMENT DEPARTMENT
HOMEOWNER ASSOCIATION COMPLIANCE FORM
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
All applications for a building permit within the City of Aspen are required to include a certification of compliance with applicable covenants and homeowner association policies. The certification must be signed by the property owner or attorney representing the property owner. The following certification shall accompany the application for a permit.
___________________________________ _________ ___________________________
I, the property owner, certify as follows: (pick one)
This property is not subject to a homeowners association or other form of private covenant.
This property is subject to a homeowners association or private covenant and the improvements proposed in this building permit do not require approval by the homeowners association or covenant beneficiary.
This property is subject to a homeowners association or private covenant and the improvements proposed in this building permit have been approved by the homeowners association or covenant beneficiary.
I understand the City of Aspen does not interpret, enforce, or manage the applicability, meaning, or effect of private covenants or homeowner association rules or bylaws. I understand that this document is a public document.
Owner Signature ____________________________ Date _________________
Owner Printed Name ________________________
OR
Owner’s Attorney Signature ___________________________ Date _________________
Owner’s Attorney Printed Name _______________________
ADDRESS UNIT #PARCEL ID #
ADDRESS: ____________________________PERMIT NUMBER: _______________________________
January 2018
COMMUNITY DEVELOPMENT DEPARTMENT
SCOPE OF WORK CHECKLIST
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
If you check any of the boxes below, please consult with the Planner of the Day (planneroftheday@gmail.com) before submitting your
permit application.
Does your permit involve any of the following?
LAND USE QUESTIONS
ADDRESS: ____________________________PERMIT NUMBER: _______________________________
Part of an approved COA Land Use Review
Work affects net leasable, net livable, or non-unit space
Work involves lot splitting or combining a lot
Work involves exterior of structure
Changing the number of residential units
Changes to number or location ofonsite parking
Work involves Landmark Parcel or Historic District
Located in 100-year flood plain or within 100’ of highwater mark
Work involves changes in occupancy to structure
Changes to elevator or stair configuration
Changes to the use of existing structure or space
Does your permit involve any of the following?
ADDITIONAL SCOPE OF WORK QUESTIONS
Exterior lighting added or changed
Work involves roof penetrations
Work adds, removes, or changes plumbing fixturesDisturbs 1,000 sq ft or more of soil within 12 months
Work occurs in public right of way
Work affects trees or occurs within thedripline of a tree
Work involves exterior wall penetrations
Work involves digging or excavation
Work involves restaurant or food service
Affects parking spaces/meters, loading zones, or alleys
Adding structures or systems over utility lines
Work within City Mall boundaries
August 2017
COMMUNITY DEVELOPMENT DEPARTMENT
ASBESTOS VERIFICATION AND CHECKLIST
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
Asbestos is a known human carcinogen and is an airborne hazard. Once airborne, asbestos fibers can stay suspended in the air for days,
weeks, or even months before settling out of the air. The fibers can easily become airborne again from a minor disturbance like turning
on an air conditioner. Uncontrolled asbestos abatement projects or renovation projects that disturb asbestos may cause latent asbestos
hazards that could expose people to asbestos in the future, long after the renovation activity occurred. The airborne asbestos fiber
concentrations resulting from disturbances may result in a significant exposure to the current and future occupants of the home.
The 1989 “ban” on asbestos-containing materials is commonly misunderstood. In fact, in 1991 the U.S. Fifth Circuit Court of appeals
vacated much of the so-called “Asbestos Ban and Phaseout Rule” and remanded it to the EPA. Thus, much of the original 1989 EPA ban
on the U.S. manufacturing, importation, processing, or distribution in commerce of many asbestos-containing product categories was
set aside and DID NOT TAKE EFFECT. Therefore, ALL demolition, remodel or renovation projects must determine if disturbed material
above the trigger levels contains asbestos.
ASBESTOS INFORMATION
Yes No Residential: Will you be removing more than 32 sq ft, 50 linear feet (e.g., pipe insulation), or the volume equivalent of a 55-gallon drum of any material besides concrete, wood, bricks, or steel – examples are drywall, linoleum, ceiling tiles, roofing materials, etc.?
Yes NoCommercial: Will you be removing more than 160 sq ft, 260 linear feet (e.g., pipe insulation), or the volume equivalent of a 55-gallon drum of any material besides concrete, wood, bricks, or steel – examples are drywall,
linoleum, carpet, carpet adhesives, ceiling tiles, roofing materials, etc.?
If the answer is YES to any of the above, you will need an asbestos test before you can receive a building and/or demolition permit. You will also need to provide plans indicating areas to be demolished and determine if a CO state demolition license is required. A state certified asbestos inspector must do this test and the test report must be submitted with the building permit application. If the building has asbestos, a state certified asbestos abatement firm must remove it. After removal, the abatement firm must provide a letter to the Building Department stating that all the asbestos has been removed and that the air is clean. This letter must be received BEFORE a permit will be issued. (See the local or statewide Yellow Pages, DexOnLine, or http://www.cdphe.state.co.us/ap/asbestos/index.html for certified asbestos inspectors and abatement companies. ALWAYS ask for proof of current state certification.)
If you are demolishing the building, you must submit a demolition permit app with the CDPHE in addition to the Aspen permit app. This form may be found at https://www.colorado.gov/pacific/cdphe/asbestos-forms NOTE: A copy of this demolition permit app must be submitted with the initial building permit application. When the CDPHE approves the app, their issued permit must be given to the Aspen Building Dept before we issue our permit.
ASBESTOS CHECKLIST
I hereby certify that the above information is true and complete.
Owner______________________________ Phone #___________________________
Applicant (print name)_________________________________ Phone #___________________
Applicant Signature ___________________________________ Date ______________________
Please call the City of Aspen Environmental Health Department at 920-5039 at any time if you have questions about asbestos, interpreting your test results, or other matters.
ADDRESS: ____________________________PERMIT NUMBER: _______________________________
August 2017
Code Editions
Fire Sprinkler System
Type Of Construction Fire Alarms Installed
Required Special Inspections
Energy Code Compliance
Exterior Energy Use Total Approved On-Site Snowmelt________ Spa_______ Pool _________
Building Type/Occupancy Group
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DESCRIPTION FORM - IRC & IBC
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
BUILDING CODE INFORMATION
2015 IRC
Existing?NFPA 13 NFPA 13 R
High-Strength Bolting Epoxy Anchors Structual Steel Welding
Permanent Micropiles Other _____________
Prescriptive Table
UNIT DESCRIPTION AS PROPOSED
# Stories Above Grade ______ # Stories Below Grade _______
Parking Spaces ______ Parking Spaces ______ Parking Spaces ______
# Bedrooms ______ # Full Baths ______ Deck Area ______
# 3/4 Baths ______ # 1/2 Baths ______
# Kitchens ______ # Wood Fireplaces ______
# Gas Appliances ______ # Gas Logs______
NFPA 13 D
RESCheck UA Alternative
Yes No
One Family Two Family
Townhouse
Reviewed By: _____________________Date:__________
BUILDING ROOMS AND USES BY LEVEL AS PROPOSED (Include Mechanical & Storage)
Basement ___________________________________________________________________________________
___________________________________________________________________________________________
Main Level __________________________________________________________________________________
____________________________________________________________________________________________
2nd Floor ___________________________________________________________________________________
__________________________________________________________________________________________
3rd Floor ___________________________________________________________________________________
___________________________________________________________________________________________
Additional ___________________________________________________________________________________
___________________________________________________________________________________________
Attached Garage Detached Garage Carport
Is there an ADU? # Living Rooms_____# Kitchens _____# Full Baths _____# 3/4 Baths _____# 1/2 Baths _____# Bedrooms _____
# Other Rooms (List)____________
ADU BUILDING DESCRIPTION
YesNo
PERMIT NUMBER: _______________________________
(As Adopted and Amended)
Other (Please Explain)
_________________
_________________
VA VB IV IIIA IIIB IIA IIB IA IB
Sprayed Fire-Resistants
COMCheck UA Alternative
(Existing + New)
A__B
B (A <50)
F__
H__
I __
E R__S__
U
M IRC
IBC
2015 IBC
(As Adopted and Amended)
YesNo Required?YesNo Type
January 2018
2015 IEBC
(As Adopted and Amended)
Other _____________
Gross Area of Building: __________ Gross Area of Unit: __________
Occupant Load: ___________
COMMUNITY DEVELOPMENT DEPARTMENT
VALUATION AFFIDAVIT
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
All applications for a building permit within the City of Aspen are required to include a certification of compliance with building permit valuation requirements. The certification must be signed by the property owner or authorized representative. The following certification shall accompany the application for a permit.
I, the property owner or authorized agent, understand and certify as follows:
City of Aspen Ordinance No. 40, Series of 2016 adopts the 2015 International Residential Code (IRC) and
International Building Code (IBC) with certain amendments. These codes define building valuation as follows:
R108.3 Building permit valuations. Building permit valuation shall include total value of the work for which a
permit is being issued, such as electrical, gas, mechanical, plumbing equipment, and other permanent systems,
including materials and labor.
109.3 Building permit valuations. The applicant for a permit shall provide an estimated permit value at time
of application. Permit valuations shall include total value of work, including materials and labor, for which the
permit is being issued, such as electrical, gas, mechanical, plumbing equipment and permanent systems. If, in
the opinion of the building official, the valuation is underestimated on the application, the permit shall be
denied, unless the applicant can show detailed estimates to meet the approval of the building official. Final
building permit valuation shall be set by the building official.
City policy indicates that permit valuation includes materials and labor for the structure and mechanical,
electrical, plumbing and gas, fire sprinkler and elevator systems and equipment. Permanent systems such as
audio visual, lighting and HVAC controls are included in the total as are expenses directly related to construction
such as equipment rental and contractor fees. Finish materials such as paint, floor coverings, tile, cabinets and
counter tops are included in the permit valuation total.
Costs such as architectural and engineering design fees, landscaping and planting, tap fees, development
mitigation fees, trash removal, and cleaning are not included.
AFFIDAVIT POLICY
I certify that the permit valuation entered on the permit application for this property complies with the above valuation requirements. I understand that this document is a public document.
Owner Signature: _________________________ Date:___________
Owner Printed Name: _________________________
or,
Authorized Agent Signature: _________________________ Date:___________
Authorized Agent Printed Name: _________________________
ADDRESS: ____________________________PERMIT NUMBER: _______________________________
January 2019
COMMUNITY DEVELOPMENT DEPARTMENT
ZONING COMPLIANCE VERIFICATION POLICY
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
Applicability: All development projects must comply with the City’s zoning regulations, including height and
location, and are subject to periodic inspection during construction and a final inspection prior to project
completion. When required by the City’s Zoning Officer, certain development projects within the City of Aspen
shall verify height and/or location compliance through submission of a survey report.
Unless otherwise exempted, all commercial, multi-family, lodging, and mixed-use projects proposed within one
foot of the maximum permissible height or within one foot of allowable setbacks shall verify zoning compliance
through this method.
In addition, the Zoning Officer may require this method be used to verify zoning compliance for single-family/
duplex development or other projects where compliance may be in question. Independent of this policy, all
projects must comply with all applicable zoning limitations.
The Zoning Officer will inform the applicant during building permit review if verification will be required.
However, circumstances may require zoning compliance verification of a project which is already underway.
Timing: Height verification should be accomplished at a point of construction when enough roof structure is in
place to accurately measure the structure yet early enough in the process to still make changes if the structure
is too tall. Location verification should be accomplished at a point of construction when the final exterior of the
structure can be accurately measured in relation to setback requirements. Applicants are encouraged to confer
with the Zoning Officer regarding the timing of zoning compliance verification. Applicants are encouraged to
perform their own verification during construction to ensure the building is progressing to plan, including the
height and location of foundation forms prior to concrete pours.
Survey Report: A Colorado Professional Land Surveyor shall describe and depict the height and location of a
structure compared to the dimensions shown on the zoning sheets of the approved building permit plan set. The
City’s Zoning Officer can assist in determining which elements of the structure should be measured and if natural
or finished grade should be used.
The report shall include the following information:
1-A brief cover letter with the building permit number, name of the project, name of the owner and general
contractor, with a written description of the measurement methods including date(s) of measurement.
2-For location verification: A plan drawing showing property boundaries, permitted setbacks, building envelope
(if applicable), location of foundation walls, location of the outermost exterior of each structure (inclusive of all
exterior veneer or other exterior treatments), and the location and dimension of each observed measurement.
3-For height verification: Elevation drawing(s) showing the natural or finished grade of the property, maximum
permitted height, building elevations including the nominal roof form (inclusive of the first layer of exterior
sheathing or weatherproofing membrane but excluding all exterior surface treatments such as shakes, shingles,
or other veneer treatments orornamentation), and the location and dimension of each observed measurement.
Additional roof plans showing location of measurements may be necessary.
ADDRESS: ____________________________PERMIT NUMBER: _______________________________
August 2017
COMMUNITY DEVELOPMENT DEPARTMENT
ZONING COMPLIANCE VERIFICATION POLICY
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
4-Plans and elevations must include height or setback exemption items unique to the building, such as stair/
elevator overruns, utility/mechanical apparatus, hot tubs and spas, and other height or setback exemption items
unique to the project.
5-The report shall include a written description or drawing notes of the benchmarks or control points used to
establish property boundaries, setbacks, building location, building height,and grades for each measurement.
6-All drawings must correlate with the building locations, elevations, and grading/drainage representations in
the approved building permit set.
7-The report must include the signature, date, and stamp of Colorado Professional Land Surveyor who
conducted the field measurements certifying that the field measurements areaccurately represented.
Review and Acceptance of Report: The Zoning Officer shall review the report(s) and either confirm the project
conforms to the dimensions shown on the zoning sheets of the approved building permit plan set and meets
the zoning limitations for the property or shall determine which elements of the project are not in compliance.
The Zoning Officer may request additional information to verify zoning compliance, which may include but is not
limited to additional survey work or a site visit.
All drawings of the survey report must correlate with representations in the approved building permit set for
acceptance. Modifications to field conditions or amendments to the building permit may be required.
A determination of non-compliance shall result in the issuance of a correction notice and possible work
stoppage. Applicants are encouraged to verify zoning compliance as early as reasonably practical in the
construction process to minimize disruption to the construction schedule.
Acknowledgment:
I (contractor name) ______________________________ understand this policy. I agree that this project will
comply with the zoning limitations affecting this parcel and the representations made on the zoning sheets of
the approved building permit plans. I understand that a Certificate of Occupancy will not be issued until this
project complies with all applicable zoning limitations.
Contractor Signature: ___________________________________________
Date: ________________________________________________________
ADDRESS: ____________________________PERMIT NUMBER: _______________________________
August 2017