HomeMy WebLinkAboutFile Documents.950 Cemetery Ln.0152.2019 (33).ARBK 11401
THE CITY OF ASPEN City of Aspen and Pitkin County .r. - t
FIREPLACE & WOODSTOVE REGISTRATION
*Parcel Id number: 2. 3 5 -- 1 2 2. -- S 3 -- D 0 1
Street Address: ''5o CErfl TC-12y Lf t4 , ASPe►J, Co 816911
Owners Name: Cf 1j1Q,1,,e5 A-ND Pt•1y t,LIS GOSTP N ZA
*Required—Contact Assessors offices at 920-5160
Registration will not be accepted without a Parcel Id number
List all devices in your home(2 are allowed per building, except for gas appliances)
Note:if the number, type and location on this registration form do not match what is show on your plans or what is actually
installed,your permit or Certificate of Occupancy will be denied.
Type of Building (circle one): Residential Other
Tip_e of device Room Existing New Make& Model
Wood burning fireplace (select one)
LIVItS G 0 rA ?Site built masonry
?Factory built insert: model
number:
Gas log fireplace (select one)
?Site-built masonry
?Factory built insert: model
number:
Certified woodstove
Gas fireplace appliance
(attach spec sheet)
If any devices are being removed, please describe here, i.e. "old woodstove removed from living room"
•
•
•
3/13/18
Signature of applicant Date
G:\city\building_dept\Aspen 2004oV Checklists\fireplace registration .doc RECEIVED
er
04/05/2018
ASPEN
BUILDING DEPARTMENT