HomeMy WebLinkAboutFile Documents.434 E Main St.0090-2023-BRES (3) •
ADDRESS: /1/73/ ,22-" 1 ✓"1,A/A 5/ PERMIT NUMBER:
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COMMUNITY DEVELOPMENT DEPARTMENT
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0404
BUILDING PERMIT CONTACT SHEET ,CITY tiSPEN
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FOR PLAN REVIEW QUESTIONS
Name Phone E-mail
FOR INSPECTION QUESTIONS
Name Phone E-mail
OWNER �t1
Name / yl�jl��7q/a Pt one y IPAST /i• /ell Phone A �J/ ( �]
Addresslg 9 G Ai- ,?),EA/ �r 7- City/YAvy/5/)� 'Cif at to r ZIP jCCG.J !
Address (Ai>i/i✓Y c���/1J��Y� ✓ i /� 1
OWNER'S AUTHORIZED AGENT
Name Pt one Cell Phone
Mailing
Address City State ZIP
E-mail
Address
APPLICATION BEST CONTACT
Name f/A TA /.1 Pt one PAtirIMPagWVF, Cell Phone
Addres City ,.J' Y State •d ZIP�j/CG'/�
E-mail /4 M C O/Y / /V� 7- , /I i TA'(/�l//L Address
ARCHITECT OR DESIGNER OF RECORD
Name Phone Cell Phone
Mailing
Address City State ZIP
E-mail
Address
CIVIL ENGINEER OF RECORD
Name Phone Cell Phone
Mailing
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 A
Name lid A '� + �� ���-7� Phone k "C3 Cell Phone
Address �, /ram (.�� City .-5j� (/ State ZIPff�fC�i/
E-mail
Address
I hereby certify that I have read and examined this application and how the same to be true and correct. All provisions of laws and ordinances
governing this type of work will be complied with whether specifiec 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 ccnstruction 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 project is built in compliance with all applicable codes.
Additionally,I understand that I am responsible for ensuring that all sub-permits associated with my project are submitted to the City in compliance
with the approved a ter plan set.I understand that the City doe;not review sub-permits for compliance with the master plan set
Contractor
Signature i Date 7l �' f VE
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El Check if you are a tested owner builder(single-family homes only).You must take a test and c mpl to the owner/bu`ilding a av t.
(CITY USE ONLY)Owner builder approved by: Date: Affidavit fili.7/2 02
( CITY OF ASPEN November2022 427 RIO GRANDE PL I ASPEN, CO
'3UILDING DEPARTMENT