HomeMy WebLinkAboutFile Documents.121 Juan St.0040.2019.ARBK , PERMIT NUMBER: 0147.2015. ARBK ADDRESS:
755 S Aspen St
MMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT CONTACT SHEET THECnyo
`:FDRRLAN REVIEW QUESTIONS
Phone E-mail
Name
FORINSPECTION QUESTIONS..;.
Name
Phone E-mail
OWNER .::::.........- .
I
Cell Phone
' Name Phone
r
•
i Mailing City State ZIP
Address
E-mail
Address
OWNER'S AUTHORIZED AGENT
..... Phone Cell Phone
Name
Mailing City State ZIP
Address
E-mail
Address
1 APPLICATION BEST CONTACT
Cell Phone
Name Phone
I is Mailing City State ZIP
Address
E-mail
Address
IL.kCH17F.CT OR DESIGNER OF RECORD
Name
Phone Cell Phone
Mailing City
State ZIP
Address
E-mail
Address
CIVIL ENGINEER OF RECORD
Name
Phone Cell Phone
•
Mailing City State ZIP
Address
I E-mail
Address
STRUCTUAL ENGINEER OF RECORD
Cell Phone
l � Name Phone
Mailing City State ZIP
Address
I E-mail
Address
GENERAL CONTRACTOR
} Phone Cell Phone
iI 1 Name
Mailing City _State ZIP
Address
E-
Address
I
INSPECTIONS: The General Contractor must schedule inspections online.
Please visit www.aspenpitkin.com/Departments/Community-Development-Forms/to do so.
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
C presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. t,is my resp hsibility to review the approved plans and any comments that are contained thereon andsee that the
structure and/or ro ei. ,is 1zl'reolpllance with all applicable codes.Contractor pate$/ /18 '/
Signature ,.
❑ Check if you are a tested owner builder(single-family homes only).You must take a test and complete the owner/building a1fidakilt.'
Date: Affidavit on file
(CITY USE ONLY)Owner builder approved by: 05/02/29119
O 1
130 S. GALENA ST I ASPEN, C j
I( CITY OF ASPEN August z017 _ —