HomeMy WebLinkAboutFile Documents.45 Callahan Ct.0014.2017 (3).ACBKCity 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 Review
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
*See subdivision map
provided for clarification
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
General/Building Permit Application Checklist Permit No.: __________________________
Master Permit No.: ____________________
Land Use Questions
Additional Scope of Work
Exterior Lighting added Work involves exterior wall penetrations
Work affects Trees or occurs within the Dripline
of a Tree
Affects Parking Spaces, Parking Meters, Loading
Zones, or Alleys
Adding Structures or Systems over Utility Lines
Work involves digging or excavation
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
Changing the number or location of onsite
parking
Disturbs soil equal to or exceeding 1,000 Sq Ft
within 12 months
Work adds/removes/changes plumbing fixtures
Work involves Roof Penetrations
Involves Restaurant/Food Service
If you check any of the boxes below, please consult with the Planner of the Day before submitting your permit application.
Part of an approved COA Land Use Review Within Landmark Parcel or Historic District
Work affects net leasable or net livable space
Work involves a lot split or combining a lot Work involves changing from single family to a
duplex/two homes, or vice versa
Located in a 100-year flood plane or within 100'
of high water mark
Working of the exterior of a structure (house or
building)
Work involves changing an elevator or stair
configuration
Adding to or decreasing the number of residential
units Changing the use of an existing structure or space
59,713.59 SF