HomeMy WebLinkAboutFile Documents.121 S Galena St.0083.2018 (13).ACBK ADDRESS: 121 s galena st PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT CONTACT SHEET s
THE CM'OF ASPEN
♦ •
FOR PLAN REVIEW QUESTIONS ,
Name rally dupps Phone E-mail V-' i - -
• I •• •/• •
FOR INSPECTION QUESTIONS
Name 57"Z u t Q" -�! Phone "- "6 2_.F�,6) E-mailfThv ;r_C.Xrcorc-ect-i-Aa p-4w 6-77 li.co el-1
OWNER
Name ••• • • • Phone - - Cell Phone
arjlreng 435 e main st pity aspen State CO ZIP 81611
E-mail gotgas@sopris.net ,
Address
OWNER'S AUTHORIZED AGENT
Name rally dupps Phone i 4 • Cell Phone
mprleg pob 3662 City aspen state CO ZIP 81612
E-mail
Address
APPLICATION BEST CONTACT
Name rally dupps Phone t • Cell Phone
Atilgifs pob 3662 City aspen State CO ZIP 81612
E-mail
Address
ARCHITECT OR DESIGNER OF RECORD
Name rally dupps ,'
Phone ii
Cell Phone
Aj pob 3662 City aspen State co ZIP 81612
E-mail
Address
CIVIL ENGINEER OF RECORD
Name Phone Cell Phone
Mddreailing
Ass City State ZIP
E-mail
Address
STRUCTUAL ENGINEER OF RECORD
Name ALBRIGHT AND ASSOCIATES Phone 4 • Cell Phone
14 ge 5402 PARK AVE. UNIT E City basalt State Co ZIP 81623
At sslack@albright-associates.com
GENERAL CONTRACTOR
Name > c- Mh C t-d)U Phone 3' " 11 Cell Phone 7 - $i 07-
Mailing f�Y 77 ' lam' City / State C.0 ZIP E ift,
A dress
Marts -c 1 =iP e.t �„ 6c- ✓. c. "y
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 net. 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 projec built in c_ of pfta ee kapplicable codes.
Contractor a - -
Signature �-�- " �✓�'t.�, �' �� --" d�� Date p `` 2-0--
0 Check if you are a tested owner builder(single-family homes only).You must take a test and complete the owner/buildin affidavit.
(CITY USE ONLY)Owner builder approved by: Date: Affidavit orl r I'VE r(t
' CITY OF ASPE NAugust 2017 130 S. GALENA ST I ASPEN, CO Op11,
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ASPEN
lIlUILDING ES,ART IF(\