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Home My WebLink About1885073130 S. Galena Aspen, CO 81611 ASPEN* 303/920-5440 Applicant to complete numbered spaces only. BUILDING PERMIT APPLI :IN REGIONAL BUILDING PITKIN COUNTY ❑ CITY OF ASPEN MENT No. General Construction IPermit 4 JOBADDRESS r LEGAL DESG. 2. LOT NO. BLOCK TRACT OR SUBDIVISION (CJ SEE ATTACHED SHEET) f>'C-IL crf_ OWNER ff MAIL /ADDRESS Wr ZIP PHONE 3. jJO,cJ �/C/2,pvA,O /4•-C( �j/ c�l�/L`�" ;r CONTRACTOR MAILADDRESS PHONE LICENSE NO. 4. AC 1" F ^ ARCHITECT OR DESIGNER MAILADDRESS PHONE LICENSE NO. / 5. g?v5 6 35y- fuI ENGINEER MAILADDRESS PHONE LICENSE NO, 6. CLASS OF WORK: `J,2 ❑ NEW ❑ ADDITION LTERATION ❑ REPAIR ❑ MOVE ❑ IRK ✓ CEN US CODE Al TOTAL FEE 1 USE OF BUILDING 8. M PLAN CHECK FE PERMIT FE t �� /a o N 3% USE TAX DER. VgLUATION OF WOflK 1 N(`_ pa ofConsted6flon Occupancy Group — Lot Arca FOOTAGE'-- SiztalSqe of BuareUIIOi (TongIJ No. of Modes Dec. Load �6 J 10. Remarks I =7 FM NO. OF BEDROOMS Use Zone J/� FireSprinklers equlred: ❑Yes o EXISTING I ADDED No. of Dwelling Units OFFSTREET PARKING SPACES: Coveretl Uncovered O SPECIAL APPROVALS REQUIRED AUTHORIZED BY DATE ZONING 1111� H.P.C. .��. IXF tore count: �� (j r pgRK DEDICATION HEALTH DEPARTMENT O� 4 FIREPLACE E pL p! `l///� KPRYAl10N OGGE 0 Ft (>IECKED •� � wre— RP 0WI)FOPIeGUMK.F �j- a - FIRE MARSHAL 1E/ riL (/FLrfii SPRINKLER WATERTAP C J T S PERMITS ARE OR ELECTRICAL, PL. MBING, H I� TING 0 IR ONDITIOMIOG'�' OTHER SELECTION OF METHOD FOR PAYMENT OF USE TAX THIS PERMIT BECOMES NULL AND VOID IFWORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 1201180 DAYS, OR IFCOW ❑ MONTHLY USE OF QUARTERLY RETURNS WILL BE SUBMITTED. STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF120/180 DAYS ATANYTIMEAFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING NG THIS TYPE OF WORK WILL BE COMPLIED WITH ❑ DEPOSIT METHOD: 3% OF 25% OF PERMIT VALUATION PAID NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD WHETHER SPECIFIED H REIN OR NOT. THE GRANTING OF PERMIT DOES NO PRE TO GIVE AU ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH STATE L CAL LAW REGULATING CONSTRUCTION OR THE PER- MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN THEIR OWN PERMIT. FO IJNc OF CON R ION. EXEMPT: STATE & PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION THIS FORM IS A PERMIT ONLY WHEN VALIDATED. sicNnuRE OF eorrtRaeroR as nuFRORizsoneEwe (onrel WORK STARTED WITHOUT PERMIT WILL BE DOUBLE FEE SIGNRNPE C£O M(IFI(IF VMNFA WIWER) Assalk Jesse FB IT - �— 1IJJ CC) Permit Permit Validation 3% Use Tax Deposit Validation Fy{V-,11 '1 1% FA d / � WHITE -FILE COPY GREEN —FINANCE DEPT. PINK —BUILDING DEPARTMENT YELLOW —ASSESSOR GOLD CUSTOMER 112 130 S. Galena Aspen, CO 81611 `� ASPEN4 303/920-5440 \ 1 Applicant to complete numbered spaces only. BUILDING PERMIT APPLICATIC <IN REGIONAL BUILDING DEF PITKIN COUNTY _l CITY OF ASPEN IJ> General 'MENT Construction Permit d No. �_ A 11. DREss . PA1 � L/JyLLOTNO, r LEGAL DESC. 2 BLOCK TPA OR SUBDIVISION le (p SEE ATTACHED SHEET) OWN MAILADDRESS ZIP PHONE �3. I CONTRA 0 I„('I 4. grr`/{/, ,., AIL ADDRESS J PHONE / LICENSE NO. a -f no 1&1 ARCHITECT OR DESI ER MAILADDRESS PHONE LICENSE NO. 5. (o ENG EER MAILADDRESS PHONE LICENSE NO. CLASS OF WORK: 7. ❑ NEW ❑ ADDITION k<LTERATION []REPAIR ❑ SQUARE FOOTAGE 8 ZONING FE AVt'Z� NSUS CIE ' TT USE OF BUILDING P CHECK FEE PER ITFEE kUSE TAX DER VALUATION OF %O J f� lo. $ K`eC r Ty onslry 'on Gr p Occupancy� / a e of Builtlin (Total Square FVId o. of Si les Oa. Lead 11. Remarks f� Y NO.OFBEDROOMS Use Zone 9 Flre Sprinklers Rsqulretl: El Yes N. EXISTI ADDED N..ol Dwelling Line / OFFSTREET PARKING SPACES: Cowed Uncovered AffT=OUkD- SPECIAL APPROVALS REQUIRED AUTHOFIEq BY DATE Ili: ZONING IL DRULDINC, HPC. Fixture Count: PARK DEDICATION HEALTH DEPARTMENT FIREPLACE PgESU&ART4L MPLIERLIpV OLCEPIEp EPI(Ep . MARSHAL /l//FIRE aY W av cost 44ArvCE SPRINKLER WATERTAP� OTHER NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBIN HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120/180 DAYS, OR IF CON SELECTION OF METHOD FOR PAYMENT OF USE TAX MONTHLY USE OF QUARTERLY RETURNS WILL BE SUBMITTED. STRUCTION OR WORK IS SUSPENDED OR ABANDONEDFOR A PERIOD OF 120/180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑DEPOSIT METHOD: 3%OF 25%OF PERMIT VALUATION PAID NOW 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 ILL BE COMPLIED WITH AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD WHETHER SPECIFIED HEREIN OR NOT. THE GR G OFA PERMIT DOES NOT PRESUME io E AUTHORITY TO VIOLATE O NCEL THE PROVISIONS OF ANY OTHER S TE OR LOCAL LAW LATI ONSTRUCTION OR THE PER- MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS THAT DO NOT OBTAIN THEIR OWN PERMIT. FORMAN CONSTRUCT 41 9 ❑ EXEMPT: STATE & PITKIN COUNTY RESALE N0. EXEMPT ORGANIZATION THIS FORM IS A PERMIT ONLY WHEN VALIDATED. WORK STARTED WITHOUT PERMIT WILL BE DOUBLE FEE SIGN REOF gACfpR aqp ql AGENTAoENTV eIG p W! Eq WL ERI IMTE / Zoning 111114 1 / Plan Check Validation — Permit Validation -D ►r WHITE—FILEC PY GREEN—FINA EDEPT. PINK —BUILDING DEPARTMENT 4ELLc 3 % Use Tax Deposit Validation oz> __-- GOLD —CUSTOMER x a ts 130 S.•Galena'• BUILDING PERMIT APPLICATII General Aspen, CO 81611 ASPEN4,.: KIN REGIONAL BUILDING DEPARTMENT Construction 303/920-5440 Permit PITKIN COUNTY ❑ CITY OF ASPENV /L/ Applicant to complete numbered spaces only. No. /—Z JOBADDRESS 1. 1 LEGAL LOTNO, BLOCK FACT OR SUBDIVISION L. SEEATTACHEDSHEET) DESC, 2. OWNER MAILAD ESS ZIP PHONE 3. ` CON ACT R MAILADDRESS PHONE LICENSE NO. 4. - < T OR OESIG E I IL ADDRESS PHONE LICENSE NO, 5 �® ENGINEER MAIL ADDRESS PHO14E LICENSE NO, 6. 3 CLASSOFWORK: SQUARE FOOTAGE ZONING FEE C SU ODE ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ 7 6 USEOFB G PLAN CHECK FE ry PERMIT FEE 3% USE TAX DER. 9. VALUATION OF WORK Type of Construction Occupancy Grc Lot Area. 10. $ Remarks Size of Bu1101ngg es Occ. Lead 11. total Square FL) s NO. OF BEDROOMS Use Zone C Fire Sprinkters Required'. ❑Yes El No EXISTING I ADDED Q No. of Dwetling Units OFFSTREET PARKING SAGES: Covered Uncovered SPECIALAPPR ALS REQUIRED AUTHORIZED BY DATE ZONING'4(07 Q H.P.C. Fixture Count: JALL PARK DEDICATIO HEALTH RTMENT o �O z FIREPLACE PflESneNniK MPLICATW,Y,CEPrEn b&C�D OVEO ISa11M'CEFIRE MARSHAL exSPRINKLERi WATER NOTICE OTHER EPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. SELECTION OF METHOD FOR PAYMENT OF USE TAX THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120;'180 DAYS, OR IF CON- ❑MONTHLY USE OF QUARTERLY RETURNS WILL BE SUBMITTED. STRUCTION OR WORK IS SUSPENDED OR ABANDONEDFOR A PERIOD OF 120/180 DAYS AT ANYTIME AFTER WORK IS COMMENCED. ❑DEPOSIT METHOD: 3% OF 25P/o OF PERMIT VALUATION PAID NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF RK WILL BE COMPLIED WITH WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD WHETHER SPECIFIED HEREIN OR NOT. TH RANTING OFA PERMIT DOES NOT MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS PRESUME TO E AUTHORITY TO IOLA R CANCEL THE PROVISIONS OF THAT DO NOT OBTAIN THEIR OWN PERMIT. ANY OTHER E OR LOCAL L W EGU A G CONSTRUCTIO OR HE PER. FORMANC ones _ l ❑ EXEMPT: STATE & PITKIN COUNTY RESALE NO. VIdt EXEMPT ORGANIZATION THIS FORM IS A PERMIT ONLY WHEN VALIDATED. sx;NAIDRE OF aR on HoaizEo nT Iw t WORK STARTED WITHOUT PERMIT WILL BE DOUBLE FEE SIGNAWRE OF OWNER (IF ) VNER BALDER) TATEI Zoning Validation �. Plan Check Validation cz�29 LO Permit Validation 3% Use Tax Deposit Validation ii WHITE —FILE COPY GREEN —FINANCE DEPT PINK —BUILDING DEPARTMENT YELLOW —ASSESSOR GOLD —CUSTOMER 130 S. Galena I DING PERMIT APPLICATION General Aspen, CO 81611 ASPEN*PITKIN t`OMMUNITY DEVELOPMEN �.«ARTMENT Construction 920-5090 Perrglt' 920-5448 Inspection Line PITKIN COUNTY ❑ CITY OF ASPEN i _ din L1 Applicant to complete numbered spaces only. No. rI ,7 S JOB AD E ,. an> LEGAL 2• LOT NO. BLOCK TRACT OR SUBDIVISION ID BEEATTACHEpSHEET) C � pESC. DE ER MAILADDRESS ZIP PHONE 3. 1d�j�-k Ste(- �--t FD C NTRACTOR I MAILADDRESS PHONE LICENSE NO 4 FN ARCHITECT OR DESIGNER MAILADDRESS PHONE LICENSE NO MH 5. MS ENGINEER MAILADDRESS PHONE LICENSE NO s. R F CLASS OF WORK 7. El NEW ❑ ADDITION ElALTERATION REPAIR ❑ SQUARE FOOTAGE 8, ZONING FEE SUS CODE / J L —T USE OF BUILDING 9. PLAN CHECK FEE E RnFEE lL 3. USE TAX DER VALUATION OF WORK Tnmol Construction Occupanry troup Lot Nea 10. $ 11. Is there food service in this building ❑ YES 0 NO Sizei 9quxltleoot) FF No. of Slorlee Coo. Load 12. Is LPG used? ❑ YES ❑ NO NO. OF BEDROOMS a Fire Sarkore RequiretlP ❑Yee ❑No 13. Remarks EXrSnNG ADOEO Alarm System Required? ❑Yes ❑ No P No. of Duelling Units OFFSTREET PARKING SPACES Covered Urcwered SPECIAL APPROVALS REQUIRED AUTHORIZED BY DATE ZONING H.P.C. PARK DEDICATION ENVIRO. HEALTH P FS ITTAL APPLICATION ACCEPTED PLANS CHEC DANCEENGINE G 5DATE BHOUSING AAY'�VORI DATE L 0 PLANNING NOTICE FIRE MARSHAL WATER TAP SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. OTHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120/180 DAYS,OR IF CON- STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD PAYMENT OF PITKIN COUNTY USE TAX OF 120/180 DAYSATANYTIME AFTER WORK IS COMMENCED. ❑ MONTHLY OR QUARTERLY RETURNS WILLBE SUBMITTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ❑ DEPOSIT METHOD 3.5 % 25% OFTHE PERMIT VALUATION PAID AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF AT ISSUANCE. A FINAL REPORT ON TOTAL ACTUAL COST MUST LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COM- PLIED WITH WHETHE SPECIFIED HEREIN OR NOT. THE GRANTING OF MIT DOES NOT P ESUME TO GIVE AUTHORITY TO VIOLATE OR CAN- BE FILED WITH IN 90 DAYS OF SUBSTANTIAL COMPLETION OF WORK AND IORISSUANCE OF THE CERTIFICATE OF OCCUPANCY. CEL E PROVISIONS F ANY OTHER LOCAL RE LATING SiOF ❑ EXEMPT: EXEMPT ORGANIZATION CANS CTION O T E PERFORMANCE CONSTRUCT N. ��` El RESALE: STATE &PITKIN COUNTRY RESALE NO. ANYONE WHO USES AND/ OR CONSUMES BUILDING MATERIALS AND FIXTURES IN PITKIN COUNTY IS SUBJECT TO THE 3.5%USE TAX. sI. -F cosrRA oR ORA rBonrzED ACENr (DATE) PROPERTY LIENS MAY BE PLACED ON THE OWNER'S AND /OR THE CON - TRACTOR'S PROPERTY WHEN USE TAX IS NOT PAID SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI THIS FORM IS A PERMIT ONLY WHEN VALIDATED WORK STARTED WITH OUT PERMIT WILL BE DOUBLE FEE Plan ChecllYvlidation Zoning Validation Permit Validation 3.5 %Use Tax Deposit Validation i WHITE -FILE COPY CANARY -APPLICANT PINK -BUILDING DEPARTMENT GOLD -ASSESSOR 130 S. Galena ASPEN* PITKI IMMUNITY DEVELOPMENT DARTMENT General Aspen, CO 81611 PERMIT APPLICATION Permit 970/920-5090 920-5448 Inspection line PITKIN COUNTY ❑ CITY OF ASPEN _ / / 1X\ Applicant to complete numbered spaces only. No.' JOB ADDRESS 1. I BD 2. LEGAL DESC. LOT NO. BLOCK TRACTOR SUBDIVISION fl.` AA/i 2. �1r�•— �•�l (❑ SEE ATTACHED SHEET) �O 3. OWNER MAILADDRESS 4tt,-t�r_VdtTC6P_K 6aii-wd ft ZIP PHONE 6fU 24&G FD 4 CO� D6111CfG MAILADDRESS ai(Z/PINI�� LICENSE NO FN 5. ARCHITECT OR ENGINEER OF RECORD MAILADDRESS GittT- Ut NPUNAMSSS N, MIu ST itSrqr\/ LICENSE NO 20 qQ2 3zq(q- MH MS 6. DESIGNER MAILADDRESS LICENSE NO RF 7. CLASS OF WORK ❑ NEW ❑ ADDITION 'ALTERATION ❑ REPAIR ❑ ENERGYC EFEE N USE TAX CENSUS CODE a. USE OF BUILDING p-�y tx-ff w PLAN C ECK FEE 3 .� 5v PERMIT FEE 1 ZONING FEE `i7r' s. VALUATION OF WORK �o o� SQUARE FOOTAGE 10. t 4 o—o/ Ty svunion �IJ Occuperwy Gmup Lot —7-- Area 11. Is there food service in this building El YES tCNO S. Sq.I ^ ) SCE No. orS o lee Om T Wed 12. Is LPG used? ❑ YES o 13. Remarks NO. OF BEDROOMS Use Zone y V Fee SprinNers RegU1ad? Norm Bystam Requlred9 ❑Yas ❑Yes ❑No ❑NoL E%ISMNG A No. of D,velling Unlb J OFFSTREET PARKING SPACES Covered Uncovered I �� 1 ti A D A a'iv, i I ��w\ R4 SPECIAL APPROVALS I REQUIRED AUTHORIZED BY I DAM , I H.P.C. d PARK DEDICATION - PRE SUSMnT APPHCAMON ACCEPTED PLANS CHECKED APPgO ANCE ENMRO. HEAL114, ENGINEERING BYL) BY r// BY By,PARKS DATE l7 ' 4 DATE I DATE �I FIRE MARSHAL DATE WATERiAfj NOTICE ASPEN CONSOL. S _TSPARAT'E PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. OTHER THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED I N M S OT CO IV ENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT PAYMENT OF PITKIN COUNTY USE TAX ANY TIME AFTER WORK IS COMMENCED. ❑ MONTHLY OR QUARTERLY RETURNS WILL BE SUBMITTED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ❑ DEPOSIT METHOD 3.5 % 25% OF THE PERMIT VALUATION PAID AND 0 INANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED AT ISSUANCE. A FINAL REPORT ON TOTAL ACTUAL COST MUST WITH HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT BE FILED WITH IN 90 DAYS OF SUBSTANTIAL COMPLETION OF DOES T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- WORK AND / OR ISSUANCE OF THE CERTIFICATE OF OCCUPANCY. VISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH PERFOR ANGE OF CONSTRUCTION. IT IS MY RESPONSIBILITY TO ❑ EXEMPT: EXEMPT ORGANIZATION REVI THE A OVED PLANS AND ANY COMMENTS THAT ARE CONTAINED TH AN EE THAT THE STRUCTURE AND/OR PRO ECT IS BUILT IN ❑ RESALE: STATE 6 PITKIN COUNTRY RESALE NO. C WITH ALL APPLICABLE CODES. 1— Q") — s [ III ! 11/ ANYONE WHO USES AND/OR CONSUMES BUILDING MATERIALS AND FIXTURES IN PITKIN COUNTY IS SUBJECT TO THE 3.5% USE TAX. PROPERTY LIENS MAY BE PLACED ON THE OWNER'S AND /OR THE CON - SIGNArURE OF CONTRACTOR (DATE) SIGNATURE OF OWNER OF OWNER BUILDER) PATE) TRACTOR'S PROPERTY WHEN USE TAX IS NOT PAID THIS FORM IS A PERMIT ONLY WHEN VAUDATED WORK STARTED WITH OUT PERMIT WILL BE DOUBLE FEE Energy Code Validation Plan Che lidation Validation Penult Validation 3.5 % Use T= Deposit Validation SAD 7D t 16 COPY CANARY -APPLICANT PINK -BUILDING DEPARTMENT 130 S. Galena Aspen, CO 81611 ASPEN 303/920.5440 Applicant to complete numbered spaces only. BUILDING PERMIT APPLICATH <IN REGIONAL BUILDING DEL__ PITKINCOUNTY ❑ CITY OF ASPEN General •MENT Construction Permit ■ No. 1 JOB I�-> LEGAL 2. OESC. LOT NO. BLOCK TRACT OR SUBDIVISION (D SEE ATTACHED SHEET) / / L �/7 MAILADDRESS ZIP PHONE 3�jjER I�C,16ltr(� t,� i ` CONTRACTOR IL ADOfl S PHONE LICENSE NO. 4. RC�`(1L im � NIA �. to tu►ls� albsy `i2737�IL 182 ARC ITECTORDE GNER MAIL ADD PHONE LICENSE NO. 5. xc L� 7 3167 ENGI R MAIL ADDRES PHONE LICENSE NO. l�. 7 CLASS OF 0 K: 7 PEW ADDITION ,• ALTERATION El REPAIR ❑ MOVE ❑ WRECK CEN S CODE k,lj TOTAL FEE USE OF allILDING ` 8. PLAN CHECK FEE GG PERMIT FEE or v� 3%USETAX DER VALUATION OF WORK /'` F��'. Type of Construction • OocupanccyYGroup 1` LWArea '� 'JJLi 1.,O17J'GQC 10. Remarks Sueof BDiltllng �/ (Total Square FL) owl Stories 7' Occ. Load � O L FBEDROOM Uae Zona �f^j ��y�� q Fire Sprinklers uired: []Yeso EXISTING ADO D No. of Dwelling Units { OFFSTREET PARKING SPACES: Covered , ` Y+I` Uncovered n -- ,L• SPECIAL APPPROVALS REQUIRED AUTHORIZED BY DATE \ a I�EiI_Y �fFma i` �/� / _ G wo,S — --=-�'11XYurelCoufit�/.:.Ph�r HZONING .PC. i �r �tL�^•� PARK DEDICATION n( tie- HEALTHDEPARTMENT FIREPLACE — t 4 v PPE5112MIRPL rsr2�% �+��' y PWLIGigN MFEPIED puvcscH CKED ev ay MPgoUFDFpR ISW.INCE �� /, mly_N� � FIREMARSHAL SPRINKLER Dn*Ew?/ wTE wiE WATER TAP Q / �ae%/'J' `� �+ A/.•� /�� ` OTHER C HE ATC pf�pvTs GROR AIR C NDITIONIFOR TELECTRICAL, PLUMBING, 77EEFF l ��. q /9 I�JE SELECTION OF METHOD FOR PAYME�NtJT OF USE TA THIS PERMITBECOMES NULLANDVOID IFWORKOR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120/180 DAYS, OR IFCON-10 MONTHLY USE OF QUARTERLY RETURNS WILL BE SUBMITTED. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120/180 DAYS ATANYTIME AFTERWORK ISCOMMENCED. 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 E DEPOSIT METHOD: 3% OF 25% OF PERMIT VALUATION PAID NOW AT ISSUANCE. FINAL REPORT ON TOTAL ACTUAL MATERIALS COST MUST BE FILED WITHIN 90 DAYS AFTER COMPLETION OF WORK. GENERAL CONTRACTORS CHOOSING THIS METHOD WHETHER SPECIFIED VEREIN OR NOT. THE GRANTING OF PERMIT DOES NOT MUST REPORT AND REMIT TAX FOR ALL SUBCONTRACTORS PRESUME TO GIVE AU HORITV TO VIOLATE OR CANCEL THE PROVISIONS OF OTHER STAT OR OCAL LAW REGULATING CONSTRUCTI O THE PER - THAT DO NOT OBTAIN THEIR OWN PERMIT. FOR NCE OF C ST UCTION.• ❑ EXEMPT: STATE & PITKIN COUNTY RESALE NO. EXEMPT ORGANIZATION THIS FORM IS A PERMIT ONLY WHEN VALIDATED. E aFD°Nraci°°°n w>H°°rg°"GExr Ia'*� WORK STARTED WITHOUT PERMIT WILL BE DOUBLE FEE SIGNATURE DF GNNEP (IF cr Nm s luxt) IDATs Plan Check V ' lion P all Velldatio ` 3%Use Tax Deposit Valitle �- d9 7' 111 61 'b WHITE —FILE COPY GREEN —FINANCE DEPT.