HomeMy WebLinkAboutFile Documents.108 Midland Ave.0264.2017 (14).ARBK ASPEN LINE GRADE VERIFICATION FORM
Verification of Building Location by Building Contractor
For Building and Permit Information,please refer to our website at:
THE CITY OF ASPEN http://www.aspenpitkin.com/depts/41/
Exemption
A City verification of building location is not needed when the project creates less the 200 square feet of new floor area.
PART A: Complete and Submit as part of the Building Permit Application
o Building/Job Address or Location: 108 Midland Avenue
o Your Name (Person Completing Part A): Philippe Beauregard
o Your Company: Poss Architecture+ Planning
o Plans must show horizontal dimensions that 'tie' the building to the property boundary.
Are building ties shown? (circle one) 420 'No'
o An elevation benchmark needs to be established on the site by a licensed surveyor and shown on the plans. What is the
elevation of this benchmark? 7973.00'
o If the garage is located within 10 feet of the roadway or sidewalk,provide spot elevation on the on the roadway or sidewalk.
Is a spot elevation shown? `Yes' `No' (/A)
o Provide the equation comparing site(surveyed) elevation to structure/architectural plan elevation:
(i.e., 100' first floor elev=7962.50') Building Elevation 100'-0"= USGS Elevation 7975'-5"
PART B: Complete prior to first Foundation Inspection, by a licensed surveyor or an individual prequalified by the City
o Do field measured building ties to property match building ties shown on the plan? (circle one): `Yes' `No'
o Surveyor needs to confirm that one spot on the top of the foundation wall is at the same elevation shown on the approved
building plans.
o What is the field measured elevation of top of foundation wall relative to the site bench mark?
o According to the building plans,what was the design elevation for the same place on the foundation wall?
o Was the elevation of the building adjusted in field? (circle one): `Yes' `No'
o If yes,why?
The undersigned qualified individual certifies that the information in Part B is accurate-
Signature: Date: _
Printed Name: Contact ph. # :
Company:
RECEIVED
Webpage: http://www.aspenpitkin.com/pdfs/depts/41/linegradeverificationform.pdf RA 9/16/2 017
ASPEN
BUILDING DEPARTMENT