HomeMy WebLinkAboutFile Documents.814 W Bleeker St.0299.2017 (32).ARBK COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT CONTACT SHEET
CITY OF ASPEN 130 S. GALENA ST | ASPEN, CO 81611
___________________________________ _____________________ _____________________
________________________________________ __________________ _________ ____________
_______________________________________________________________________________________
Name Phone Cell Phone
City
Mailing 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
City
Mailing Address
E-mailAddress
State ZIP
OWNER’S AUTHORIZED AGENT
___________________________________ _____________________ _____________________
________________________________________ __________________ _________ ____________
_______________________________________________________________________________________
Name Phone Cell Phone
City
Mailing 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
City
Mailing 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
12/04/2017