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:1i' .;Gafiield Coutrty
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Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81501
(s7ol94s-82L2
; I www.garfield-county,com
TYPE OF CONSTRUCTION
Commercia l/Multi-Fami
Manufactured Home or Tiny Home (Single or Multi-Level)
Residential or Townhome)
Accessory Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,200 SQUARE FEET
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BUILDING PERMIT
APPLICATION
INVOLVED PARTIES
property owner: William D' Kenworthy and Catherine S. Kenworthy phone:704 241-4394
Mailing Address: 223W Menomonee St., Chicago, IL 60614
Emait Addresr. wkenworthy@gmail.com
contractor: Smith Mountain Builders - Zach Smith phone:p70 234-0112
Mailing Address: 1011 Heritage Dr., Carbondale, CO 81623
Email Address zach@smithmb.com "
Architect: KA DesignWorks, Inc., - Ken Adler phon",970 948-9510
Mailing Address: 525 Basalt Avenue, Unit l-201, Basalt, CO 81621
Emait Addresr, !@-desigM
Engi n""r. Riverstone Structural Concepts, - Jake Timmons phone: e08 $43-2092
Mailing Address: 7154 W. State St., Ste. #297, Boise, lD 83714
Emait Addresr. ja ke@ riverstonesc. com
Manufactured Home Installer:Phone:
Mailing Address
Email Address:
PROJECT DETAILS
Describe Work:New single family residence
Job Address:
Assessor,s parcer Number: 2391 07 101 021
sus. Ranch @ Coulter Creek rct21 Block
Owner's Valuation of Work: $3,200,000.00 Property Size (Sq. Ft. or Acres):
Sq. Ft. of Building:4,77 5 Height:25',# of Floors 2
Class of Work:Addition
Garage:Attached
Remodel/Alteration
Detached
5.271Acres
PROJECT DETAILS CONTINUED
Septic:
Type of Heat:Natu ral Gas
Community
g
I ectric
Permit #:
OtherPropa ne
Driveway
Permit:
NOTICE
Exempt
Authoritv. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,describedabove,
oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthority,signedby
the Owner, must be provided with this Application.
Lesal 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.
CERTIFICATION
I hereby certify that I have 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, I agree that I and my agents will comply with provisions of any
federal, state, or local law regulating the work and the Garfield County Building Code, OWTS regulations and
applicable land use regulations (County Regulation(s)). All Countydevelopment requiring a permit, except for
residential uses, are subject to Article 7 of the Land Use and Development Code. I acknowledge that the Building
Permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the
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 not prevent the Building Officialfrom: (1) requiring
the correction of errors in the submittals, if any, discovered after issuance; or (21 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
Application, including submittals, and inspections of the work bythe Building Division do not constitute an
acceptance 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 the required information which is correct and accurate to the best of my knowledge.
William D. Kenworthy Catherine Kenworthy
CJLJ,-6130125
Property Owner Print and Sign Date
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-$?OFFICIAT USE ONtY
seeat*aahey'&tVEtnillgSpecial Conditions:
,Z#T"Y,'"{)vh.p Manu. Home Fee:
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Ctf iis>zllozAdiusted Valuation:sazq#,p
Fees Paid: o/)
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OWTS No: '
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(ht)i{'ll'rBUILDING / PLANNING DIVISION :
Signed Approval
r-'24-25
Date
ENERGY COMPLIANCE SHEET REQUIREMENTS:
Effective June 30, 2023 Please provide details showing how building complies / meets Garfield County's
adopted 2018 IECC and Climate Zone 5
Depict and show outline the structure's building thermal envelope. Outline should clearly show portions
of the building to be conditioned inside the envelope (and label or otherwise identify any areas remaining
unconditioned outside this envelope)
Energy Compliance Plan should further include:
Chosen Energy Compliance Path. Prescriptive: Cross Sections of insulated assemblies including the selected material/ R-Value
and U-Values to comply with IRC Table R402.1.2. U-Factor Alternative: Provide a ResCheck Reporto Total U-Factor Alternative: Provide software generated submittal design reports and inspection
checklist for any RESNET ERI index or other performance path designs
Air sealing details around openings, pipes, penetrations, joints
Fenestration U-factors
Provide mechanical system design details including proposed efficiency rates, types of equipment, fuel
types, locations
Energy efficient lighting specifications - 90% to be high-efficacy (LED complies)
Manual J Report required for new building structures and new equipment installations.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
o SOILS REPORT - lf the project is located in a subdivision with a final plat requiring site specific
soils investigation report or if Structural plans make a specific reference to a soils report, then a
copy of the soils report is required to submit a building permit application.
o Design specifications to include roof and deck snow load, wind and seismic design and frost
depth.. Foundation plan showing complete footing and foundation dimensions.
o Footing and foundation details specifying reinforcement and referenced on plans.
. Framing plans for each floor level and roof. All beams, columns, joists, rafters and trusses
specified. Pre-manufactured structures require the engineers stamp, signature and date.
o Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold untilthe required information is
provided. Work may not proceed without the issuance of a permit.
The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Road lmpact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand and will abide by the requirements of this
checklist.
William D. Kenworthy d"i%;t** p.
Owner Print:Catherine Kenworthy Sign aiL-^-6130125
Gur$eld Coam$t
BUILDING DEPARTMENT
108 Eighth Street, Suite 407, Glenwood Springs, CO 81601
Tel: (974 9a5-8212
PISN REVIE W CHECK L IST
Permit Not
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Pro.oerty Line Setbac k Br€,
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Driveway Permit
Surveved Site Planiai;inzf-f.vtb
Septic Permlt and Setbacks
Grade/ Topography 30%
Atta'ch Residential Plan Review List Ye
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Descri n&Su
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Zoning Sign-Off
Rcad lmpact Fe€s
Gradel TopograPhY 40%
Planning lssues
Subdivision Plat
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OPENI.HOLE SOILS REPORT
IS REQUIRED AT FOOTING
|NSPECTTAN ?54)PSF
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
Application Signed
ParcellSchedule No.
40# Snowload Letter - Manuf. Homes
Soils Report
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