HomeMy WebLinkAboutFile Documents.314 N Riverside Ave.0003-2022-BROF ADDRESS: PERMIT NUMBER:
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COMMUNITY DEVELOPMENT DEPARTMENT ►►
BUILDING PERMIT CONTACT SHEET ni-vOFASPEN
FOR PLAN REVIEW QUESTIONS
Name Jesus Molina Phone • • E-mail • I .j' U : •-/• " .I . • "
FOR INSPECTION QUESTIONS
Name same Phone E-mail
OWNER
Name Phone Cell Phone
Mailing 289 Laurel Ave Highland Park State II ZIP 60035
Address City
E-mail
Address
OWNER'S AUTHORIZED AGENT
Name Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
APPLICATION BEST CONTACT
Name Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
ARCHITECT OR DESIGNER OF RECORD
Name Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
CIVIL ENGINEER OF RECORD
Name Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
STRUCTUAL ENGINEER OF RECORD
Name Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
GENERAL CONTRACTOR
Name Molina Construction Phone • • • '• Cell Phone
Mailing Address 427 Home Ranch Road City Rifle co
State ZIP 81650
E-mail Address molinajesus0582@gmail.com
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
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 i ilt in compc all applicable codes. 2/22/22
Contractor
Signature Date r�
❑ Check if you are a to ted owner builder(single-family homes only).You must take a test and complete the owner buIIdi tiavrt.
(CITY USE ONLY) Owner builder approved by: Date: Affidavit on file
2,2
( CITY OF ASPEN August2017 130 S. GALENA ST I ASPEN, CO/81611J
1 1.JILDING DEPARTMENT