City of Aspen & Pitkin County

Transcription

1 City of Aspen & Pitkin County CONTRACTOR LICENSING & RENEWAL FEES PLUMBING /ELECTRICAL REGISTRATION 130 S. Galena Street Aspen, Colorado Phone: (970) Fax: (970) Name and Complete Mailing Address of Company: Office Phone# ( ) Fax# ( ) Cell Phone: # ( ) E Mail: Name of Business Owner/Responsible Party: Class of License for which you are applying: General Contractor (Unlimited) Owner Builder (Single Family Residence or Duplex Only) General Contractor (Light Commercial) Electrical Registration General Contractor (Commercial) General Contractor (Homebuilder) Renewal (License # ) OR NEW Plumbing Registration Special* * see back of page for options The Undersigned as individual, owner, partner, or corporation officer, certifies that he/she is authorized as application or officer and certifies that all information is correct. Signature Date: Printed Name This application must be accompanied by: 1. Payment of the appropriate fee, Checks made to: City of Aspen (See fee schedule on the back of this page) 2. Insurance Affidavit Form 3. State Lawful Presence (HB1023) Affidavit and supporting documentation (** If you are not applying in person, you must have you have your signature and identification witnessed by a notary) 4. A copy of current B.E.S.T card or State Card (front and back) at the level of license you are applying for and valid for the period of time you are licensing for, not the one that has or Is about to expire. * Electrical /Plumbing Contractors We need both the Electrical or Plumbing Contractor License AND Master Electrician or Master Plumbing Licenses. OFFICE USE ONLY LICENSE #: Amount paid: $ Receipt #: License Exp. /Date Date: Initial: 130 S. Galena Street Aspen, Colorado Phone: (970) Fax: (970) Updated

2 City of Aspen & Pitkin County 3 Year Licensing Fee Licensing & Renewal Fees GENERAL CONTRACTOR TYPES 1 Monthly Prorated Amount $ Unlimited $12.50 $ Commercial $12.50 $ Light Commercial $12.50 $ Homebuilder $12.50 SPECIALTY CONTRACTOR TYPES (3 Year Term) $ Alteration / Maintenance $3.94 $ Drywaller Fire Resistive Construction & Penetrations $3.94 $ Excavation 2 N/A $ Historic Preservation 3 $3.94 $ Insulation/Energy Efficacy $3.94 $ Mechanical Contractor $3.94 $ Roofing $3.94 $ Solid Fuel and Gas Appliance $3.94 STATE CERTIFICATION REGISTRATION (Expires with Certification Expiration) Electrical Contractor Fire Alarm System Installer Fire Sprinkler System Installer Plumbing Contractor If the B.E.S.T. card (or other certification) expires before the end of the 3 year licensing term, your fees will be pro rated to match the card expiration date. 1 Temporary General Contractor Licenses are available in limited circumstances. Please contact the building department admin staff if you believe yourself to be eligible 2 Does not require certification 3 Applicants for Historic Specialty Contractor Licenses must have a General Contractor License Updated

3 AFFIDAVIT OF INSURANCE This affidavit must be completed and on file with the City of Aspen/Pitkin County Community Development Department before any Contractor License will be issued. I, of Name of Contractor/ Applicant Company Name At Street Address City State Zip Code hereby swear or affirm that I will maintain work s compensation insurance, if required by law, and general liability insurance with a minimum limits of not less than $500,000 for one person and $1, for any one accident, and property damage insurance with a minimum limit of not less than $300,000 for any one accident during the time I perform any construction actives in the City of Aspen or Pitkin County. I also agree to produce proof of such insurance whenever the City of Aspen or Pitkin County requests. Signature By signing above I understand and agree with the fore mentioned statement. We are no longer requiring or accepting Certificates of Liability Insurance as part of the Application to become a Licensed Contractor. All we need is this affidavit to be completed. If your insurance company automatically sends us Certificates of Liability Insurance, please contact them as ask them not to do this. Updated: by AJS - New G Drive/Master Files/Building/Contractor License/App Forms

4 STATE OF COLORADO ) ) S.S. SEAL CITY OF AND COUNTY OF ) Subscribed and sworn to before me on this day of, 20 NOTARY PUBLIC: My Commission expires:

5 AFFIDAVIT OF LAWFUL PRESENCE IN THE UNITED STATES I,, swear or affirm under penalty of perjury under the (print name) laws of the State of Colorado that (check one): I am a United States citizen, or I am a Permanent Resident of the United States, or I am lawfully present in the United States pursuant to Federal law. I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. Acceptable forms of proof are: Any Colorado Drivers License, Colorado Driver Permit or Colorado Identification Card, expired one year or less. Out-of-State issued photo driver s license, photo identification card or photo drivers permit expired one year or less. U.S. Passport expired less than ten years. Valid foreign passport with I-94 or valid processed for I551 Stamps. Valid I551 Resident Alien/Permanent Resident Card. No B1/B2 Visa/BCC Cards. Valid I688 Temporary Resident, I688B, and I766 Employment Authorization Card with intact photo. Valid US military ID (active duty, dependent, retired, reserve and National Guard). Tribal Identification Card with intact photo (U.S. or Canadian). Certificate of Naturalization with intact photo. Certificate of U.S. Citizenship with intact photo. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Signature Date Office Use Only Proof of Lawful Residence Sighted: Initial: Date: IF NOT APPEARING IN PERSON, SIGNATURE AND IDENTIFICATION MUST BE WITNESSED BY NOTARY ON THE FOLLOWING PAGE:

6 STATE OF COLORADO ) ) S.S. SEAL CITY OF AND COUNTY OF ) Subscribed and sworn to before me on this day of, 20 NOTARY PUBLIC: My Commission expires: