HomeMy WebLinkAboutApplicationGarfietd County
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108 8th street, suite 401
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tr MAJOR T MINOR
Address: PO Box 2569, Glenwood Springs, CO 81602
Constance and Thomas RusselloProperty Owner:
Mailing
EmailAdd ."rr, trsr@russel lo. net
prron",103 )932-9673
PO Box 2569, Glenwood Springs, CO 81602
Constance and Thomas RusselloContractor:Phone:
Mailing Address
EmailAddre ,.. trsr@russello.net
203 )9s2-9673
28473 US 19 N, STE 602, Clearwater, FL. 33761
799-5420
)Phone:727
EmailAddress:jason@klarklar.com
Mailing Address:
Architect: klar and klar
PO Box 2569, Glenwood Springs, CO 81602
932-9673
Engineer:ARES Engineering Services, lnc
EmailAddress:trussello@ares.engi neering
Mailing Address:
pnone' 103 )
Construction of a single family residence. Walkout basement supporting
two residential floors above. Steel framed, concrete filled metal deck floors
supported on bar'joists. Spiead footing foundations
4300 Bear Paw Lane, Glenwood Springs, CO 81601
Last Casa TooProject
Describe Work:
Job Address:
218517400152
1 50019,000Earthwork (square fdet):
2 BlockLot
Earthwork (Cu bic Yards):
Assessor's Parcel Number:
,u5. Glen Park Ranch
ALL UTILITIES MUST BE LOCATED PRIOR TO ANY GRADING
NOTI,CE
Authoritv. Th is application for a Building Permit must be signed by the Owner of the property, described above, or
anauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedbythe
Owner, must be provided with this Application.
leAal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical permit, (2) County OWTS permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CTRilFICATION
I hereby certify that I h ave read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other data
submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming completeness of
the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to
construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of
the issuance of the Building Permit, lagreethat land myagentswill complywith provisions of anyfederal, state, or
local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use
regulations (County Regulation(s)). All County development requiring a permit, except for residential uses, are subject
to Artiele 7 of the Land Use and Development Code. I acknowledge that the Building permit may be suspended or
revoked, upon notice from the County, ifthe location, construction or use ofthe structure(s) and facility(ies), described
above, are not in compliance with county Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further
acknowledge that the issuance of the Building Permit does nst prevent the Building Official from: (1) requiring the
correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the
structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this
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of responsibility or liability by the County of errors, omissions, or discrepancies. As the Owner, I acknowledge that
responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized
agents, including without limitation my architect designer, engineer and/ or builder.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided thc required information which is correct and accurate to the best of my knowledge.
Thomas Russello 1010412024
Property Owner Print and Sign Date
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Balance due:
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Grading Permit:
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lssue Date:Zoning
f6'28-4BUILDING / PLANNING DIVISION
Date