HomeMy WebLinkAboutFile Documents.315 Dean St.0021.2019 (3).ACBK ADDRESS: 3\ E . e4A 5�. Aw<n to QUA ( PERMIT NUMBER: 00t • aokeL
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT CONTACT SHEET Ti it: iii or
FOR PLAN REVIEW QUESTIONS
Name Phone E-mail
FOR INSPECTION QUESTIONS
Name Phone E-mail
OWNER
Name Phone Cell Phone
Mailing
Address _ City State ZIP
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 AARCO W f'L`tSS O ElCGAl kQ.\ svIQ\oC c all-)Phone 30 3 - 6 - 6 e a -7- Cell Phone 30 3 - -1 6 _q ' 7Z-
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EAdd-mailress CVO w ' eq ��x c co W J r \-e_ SS. Cor
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 is built in compliance with all applicable codes.
Contractor 7 Date ,4 I — 0 aD
Signature
D 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
[CITY OF ASPENAugust2o17 130 S . GALENA ST ASPEN CO 816fl0
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