HomeMy WebLinkAboutFile Documents.905 Chatfield Rd.0111.2018 (151).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: 905 Chatfield Road, Aspen
o Your Name (Person Completing Part A): Romeo A. Baylosis
o Your Company: High Country Engineering
o Plans must show horizontal dimensions t ` ie' the building to the property boundary.
Are building ties shown? (circle one) 11. '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? SW Corner Lot 4=7822.77 ft
o If the garage is located within 10 feet of the re.: , ay or sidewalk,provide spot elevation on the on the roadway or sidewalk.
Is a spot elevation shown? `Yes' `No' `N/A'
o Provide the equation comparing site(surveyed) elevation to structure/architectural plan elevation:
(i.e., 100' first floor elev=7962.50') 100' main level floor elev=7829.00'
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 RA4-983/2 018
ASPEN
BUILDING DEPARTMENT