HomeMy WebLinkAboutFile Documents.905 Chatfield Rd.0111.2018 (79).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
ĞƐĐƌŝƉƟŽŶŽĨtŽƌŬŝŶĞƚĂŝů;&ŽƌĂĚĚŝƟŽŶƐŽƌĂůƚĞƌĂƟŽŶƐŝŶĚŝĐĂƚĞƚLJƉĞ͕ŶƵŵďĞƌ͕ĂŶĚůŽĐĂƟŽŶŽĨƐŽƵƌĐĞĐŝƌĐƵŝƚƐͿ
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ůĞĐƚƌŝĐĂůsĂůƵĂƟŽŶͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ^ƋƵĂƌĞ&ŽŽƚĂŐĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
Commerical
DƵůƟͲ&ĂŵŝůLJ
^ŝŶŐůĞ&ĂŵŝůLJ
hƐĞŽĨƵŝůĚŝŶŐ ůĂƐƐŽĨtŽƌŬ
New
ĚĚŝƟŽŶ
ůƚĞƌĂƟŽŶ
Temporary Service_______________
Yes
No
Photovoltaic
/ŶƐƚĂůůĂƟŽŶ͍
Yes
No
džƚĞƌŝŽƌ>ŝŐŚƟŶŐ
ĚĚĞĚ͍
EKd/ ͗dŚŝƐƉĞƌŵŝƚďĞĐŽŵĞƐŶƵůůĂŶĚǀŽŝĚŝĨǁŽƌŬŽƌĐŽŶƐƚƌƵĐƟŽŶĂƵƚŚŽƌŝnjĞĚŝƐŶŽƚĐŽŵŵĞŶĐĞĚǁŝƚŚŝŶϭϴϬĚĂLJƐ͕ŽƌŝĨĐŽŶƐƚƌƵĐƟŽŶŽƌǁŽƌŬŝƐƐƵƐƉĞŶĚĞĚŽƌĂďĂŶĚŽŶĞĚĨŽƌĂƉĞƌŝŽĚŽĨϭϴϬĚĂLJƐĂƚĂŶLJƟŵĞĂŌĞƌǁŽƌŬŝƐĐŽŵŵĞŶĐĞĚ͘
&ŽƌĂůůǁŽƌŬĚŽŶĞƵŶĚĞƌƚŚŝƐƉĞƌŵŝƚ͕ƚŚĞƉĞƌŵŝƚĞĞĂĐĐĞƉƚƐĨƵůůƌĞƐƉŽŶƐŝďŝůŝƚLJĨŽƌĐŽŵƉůŝĂŶĐĞǁŝƚŚƚŚĞEĂƟŽŶĂů ůĞĐƚƌŝĐŽĚĞ͕ƚŚĞŝƚLJŽĨƐƉĞŶŽƌĚŝŶĂŶĐĞƐ͕ĂŶĚĂůůŽƚŚĞƌ
ĐŽƵŶƚLJƌĞƐŽůƵƟŽŶƐ͕ĐŝƚLJŽƌĚŝŶĂŶĐĞƐ͕ƐƚĂƚĞůĂǁƐ͕ǁŚŝĐŚĞǀĞƌĂƉƉůŝĞƐ͘WĞƌŵŝƚƐƵďũĞĐƚƚŽƌĞǀŽĐĂƟŽŶŽƌƐƵƐƉĞŶƐŝŽŶĨŽƌǀŝŽůĂƟŽŶŽĨĂŶLJůĂǁƐŐŽǀĞƌŶŝŶŐƐĂŵĞ͘ŶĂĐĐĞƉƚĞĚĮŶĂů
ĞůĞĐƚƌŝĐĂůŝŶƐƉĞĐƟŽŶƐŚĂůůďĞŽďƚĂŝŶĞĚƉƌŝŽƌƚŽƵƐŝŶŐƚŚĞĞůĞĐƚƌŝĐĂůƐLJƐƚĞŵ͘ĮŶĂůĞůĞĐƚƌŝĐĂůŝŶƐƉĞĐƟŽŶƐŚĂůůďĞƌĞƋƵĞƐƚĞĚǁŝƚŚŝŶϰϴŚŽƵƌƐĂŌĞƌĐŽŵƉůĞƟŶŐĂŶĞůĞĐƚƌŝĐĂů
ŝŶƐƚĂůůĂƟŽŶ͘
ŽŶƚƌĂĐƚŽƌ^ŝŐŶĂƚƵƌĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺĂƚĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
KtE ZͬWW>/Ed͗dŚĞƵŶĚĞƌƐŝŐŶĞĚĂƉƉůŝĐĂŶƚƚŽƉĞƌƐŽŶĂůůLJƉĞƌĨŽƌŵĞůĞĐƚƌŝĐĂůǁŽƌŬŽŶƚŚĞĚĞƐĐƌŝďĞĚƉƌŽƉĞƌƚLJŽƌƌĞƐŝĚĞŶĐĞŚĞƌĞďLJĐĞƌƟĮĞƐ͕ĂƐĂĐŽŶĚŝƟŽŶŽĨŝƐƐƵĂŶĐĞ
ŽĨƐƵĐŚƉĞƌŵŝƚ͕ƚŚĂƚƚŚĞĂďŽǀĞĚĞƐĐƌŝďĞĚƉƌŽƉĞƌƚLJŽƌƌĞƐŝĚĞŶĐĞŝƐŽǁŶĞĚďLJƚŚĞĂƉƉůŝĐĂŶƚ͖ƚŚĂƚƚŚĞĂƉƉůŝĐĂŶƚŝƐŶŽƚĞŶŐĂŐĞĚŝŶƚŚĞďƵƐŝŶĞƐƐŽĨĐŽŶƐƚƌƵĐƟŽŶŽƌƌĞŵŽĚĞů-
ŝŶŐ͖ĂŶĚƐƵĐŚƉƌŽƉĞƌƚLJŝƐŶŽƚŝŶƚĞŶĚĞĚĨŽƌƐĂůĞŽƌƌĞƐĂůĞ͕ŶŽƌŝƐŝƚĂƌĞŶƚĂůƉƌŽƉĞƌƚLJ;ŽĐĐƵƉŝĞĚŽƌƚŽďĞŽĐĐƵƉŝĞĚďLJƚĞŶĂŶƚƐ͕ǁŚĞƚŚĞƌƚƌĂŶƐŝĞŶƚŽƌƉĞƌŵĂŶĞŶƚͿ͕ŶŽƌǁŝůůŝƚďĞ
ŐĞŶĞƌĂůůLJŽƉĞŶƚŽƚŚĞƉƵďůŝĐ͘/ƚŝƐƵŶĚĞƌƐƚŽŽĚƚŚĂƚĐŽŵƉůŝĂŶĐĞǁŝƚŚƚŚĞƐĞĂƐƐƵƌĂŶĐĞƐŝƐĂĐŽŶĚŝƟŽŶŽĨƚŚĞŝƐƐƵĂŶĐĞŽĨĂŶĞůĞĐƚƌŝĂůƉĞƌŵŝƚƚŽƚŚĞĂƉƉůŝĐĂŶƚƉƵƌƐƵĂŶƚƚŽƚŚĞ
ƉƌŽǀŝƐŝŽŶƐŽĨ͘Z͘^͘^ĞĐƟŽŶϭϮͲϮϯͲϭϭϭ;ϮͿ;ĂƐĂŵĞŶĚĞĚͿ͕ĂŶĚƚŚĂƚĨĂŝůƵƌĞƚŽĐŽŵƉůLJŚĞƌĞǁŝƚŚǁŝůůďĞŐƌŽƵŶĚƐĨŽƌƌĞǀŽĐĂƟŽŶŽĨƚŚĞĞůĞĐƚƌŝĐĂůƉĞƌŵŝƚŽƌĂŶLJĐĞƌƟĮĐĂƚĞŽĨŽĐ-
ĐƵƉĂŶĐLJŝƐƐƵĞĚǁŝƚŚƌĞƐƉĞĐƚƚŽƚŚĞƉƌŽƉĞƌƚLJŽƌƌĞƐŝĚĞŶĐĞĚĞƐĐƌŝďĞĚ͘
KǁŶĞƌ^ŝŐŶĂƚƵƌĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺĂƚĞͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺͺ
IF OWNER/BUILDER
WĞƌŵŝƚ&ĞĞƐ^ƵŵŵĂƌLJ
Permit Fee __________
sŝŽůĂƟŽŶEŽƟĐĞ ͺͺͺͺͺͺͺͺͺͺ
Use Tax __________
TOTAL DUE __________
Reciept History
Accepted:
By___________
Date_________
hƟůŝƟĞƐZĞǀŝĞǁ͗
By___________
Date_________
ŽŶŝŶŐZĞǀŝĞǁ͗
By___________
Date_________
HPC Review:
By___________
Date_________
Approved:
By___________
Date_________
/ƐƐƵĞĚ͗
By___________
Date_________
MASTER PERMIT: ______________________DATE:___________ PERMIT NUMBER: __________________________
January 2018
Yes
No
/ƐLJŽƵƌĞůĞĐƚƌŝĐ
ƐĞƌǀŝĐĞƉƌŽǀŝĚĞĚďLJ
ƚŚĞŝƚLJŽĨƐƉĞŶ͍
Yes
No
ƌĞLJŽƵŝŶƐƚĂůůŝŶŐ
ŶĞǁŽƌŝŶĐƌĞĂƐŝŶŐ
ĞdžŝƐƟŶŐĞůĞĐƚƌŝĐ
ƐĞƌǀŝĐĞ͍
(FEES MAY BE
APPLICABLE)
12/03/2018
ĞĚ͗
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
N, CO 8888111166666611111 ,
905 Chatfield
Bill & Karyn Silverstein 273502402004
Mike Tiearney 970-379-3659 mike@aspensolar.com
Aspen Solar Inc.
5755 970-379-6902 mike@aspensolar.com
grid tie solar pv system including 24 pv modules at 360 watts each. Solar Edge 10000H inverter with P370 power optimizers for module level monitoring
Flush mounted to standing seam roof with S5 clamps.
8000
Mike Tierney Digitally signed by Mike Tierney
Date: 2018.10.15 21:15:35 -06'00'10.15.18