HomeMy WebLinkAboutFile Documents.1015 Waters Ave.0204.2019 (3).ARBK ''.-- ------ Ilorami
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AOURESSc PERMIT NUMBER_
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT CONTACT SHEET THE CIFYOFASI N
FOR PLAN REVIEW QUESTIONS
Name
Phone E-mail
FOR INSPECTION QUESTIONS
Name
Phone E-mail
OWNER
Name r'
Phone Cell Phone
Mailing City State ZIP
Address
E-mail
Address
OWNER'S AUTHORIZED AGENT _
Name V \Cj.Ar li h't1 Phone V 2 Cell Phone
Address fv i O �114("t-dN C°TNk FDA"/AI City � 1I1. State ZIP�[6
E-mail 6\tc4. 4 To IJ uusoc_-crJit^
Address
APPLICATION BEST CONTACT
Name n S76V Phone Cell Phone
Mailing City State ZIP
Address
E-mail
Address
ARCHITECT OR DESIGNER OF RECORD
Name ke-W - �l>1 — Phone 11 t ' u✓ Cell Phone
Address [O 8 �f�1OM\ A- ` �� �kA City� State C�7 ZIP gt Z
E-mail kl"l LaW A-UuSI)G,Gpr,-k
Address ,`" J
CIVIL ENGINEER OF
RECORD
Name SP's1t Phone Cell Phone
M iling
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 Mill ��[��T1'-_� i_jam U ' 1'�f-) Phone / y Cell Phone —Mailing f ft4o .
Address I P(1"w City State Ca ZIP E3t6d3
E-mail
Address
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 respon.ibility to review the approved plans and any comments that are contained thereon litte th
structure and/or pr ject is bui l compliance with all applicable codes. 4.,!`' ' ® �—
Contractor
Signature _ Date to'(0-1,( Ce
Z • 11/ 3 22 02 0
❑ Check rested .wner builder(single-family homes only).You must take a test and complete the owner/buiiding affidavit.
(CITY USE ONLY)Owner builder approved by: Date: Affidavit on EN
I CITY OF ASPEN August2017 130 S. GALENA ST I ASPENBilM ital