HomeMy WebLinkAbout7217 Laramie River Dr - Applications/Single Family New - 04/22/2013Finished Bsmt Sq Ft 1903
Air Conditioning: 'es No
City of
OMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI tCollinsl281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
wvvw.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER E260 I80� APPLICATION DATE
Job Site Address '9Z
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last
Street Ad
First Na
Unit #
•• -
State Zip
CONTRACTOR INFO: Company Nameit y X up % P d v'9 &s Contractor Phone # �z -5033
Lic Holder Name r IAIT _CGi%E7ZA- City of Fort Collins License # D' S70 Supervisor Cart #
Mailing Address f bo M o r 21)CIA City j!�ilt/d' I / 4/ f State Zip gOS Z
LEGAL INFO:
Subdivision/PUDIG414V AVC Es%A-rEs Filing# I Lot#�Block# Lot Sq Ft2< OP; -
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 23 91 Total Garage Sq Ft l02 y
Residential Sq Ft 23 M Comm'I Sq Ft # of Stories_ Bldg Height # Dwelling Units o
1s' Floor Sq Ft 4 50 -1 2nd Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft I
'/z Baths I # of Fireplaces
# of Bedrooms S # of Full Baths ( 3/< Baths 2
Energy info: ( Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4. Simulated Performance Alternative
2. ResCheck w/Air Sealing
5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # `I L List appropriate option #s/T I
- --
UTILITIES INFO: (�
Water Tap Size Sewer Tap Size -/ Metered Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) [y150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material 8 profit) $ .' 1 t J 07
Description of Work:,5/A/0 it ;'AM)
1*4
Contact Name 8 Phone # of JOBSITE SUPERVISOR: MA-7r ( GN E - ram L %2 `S r73S
Subcontractor Info:
ElectricalbECANEY Mechanical If AIOI)oe Plumbing%, E/vCNHARK
Framer 6 it6y W 0br= Roofing t 1 (O/S Concrete VATi 6AS Fireplace LjF<7cnN
Solar Other Other Other
Applicant: I hereby acknowledge that I have ad t a lication and state that the above information is correct and agree to comply with all requirements
contained herein and Cityof
Fort C I' s nan state laws regulating building construction.
Applicant Signature P ! Print Name i�i/) %% SGji��EZ Phone lq�2'S�xJS
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
' City. of
Feort Collins
pdated 1-31-2012
Planning, Development & Transportation Services
Community Development & Neighborhood Services
2012 FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM
FORM 1- NON.-ELEGTRiC HEAT (if using a%heat form 3 must be used), use this form
forcing/e fami/y houses, dup/ex, townhouses, or mu/ti family uP to 3 stivrie-c
Permit Number:
DIRECTIONS: Place a check next to Prescriptive, UA, or 9PA indicating the path chosen. An air
tightness Blower Door Test is required and must pass a 4 ACH leakage max.
Wood frame wall insul r-value
Metal frame wall insul r-value
Crawl space wall
Roof insulation in attic
Roof rafter insulation
Walls below grade
Wood floor over un-cond
Slab on grade floor, unheat
for house, 2009 IRC, section N1102.1, climate zone S.
7mnz
LUE
i
R-13+9ci or R-19+8
R-13 or R-10ci
R-38
R-30
R-13 / R-loci
R-30
R-10, 24" DEEP
..." I U-35
(B)TOTAL UA ALTERNATIVE (ResCheck), 2009 IRC, SECTION N1102A.3
Submit a passing UA calculation (i.e. ResCheck) using 2009 IRC/IECC. The rating must be submitted at time of
application and must include address of residence; name of individual completing the rating form; name & version
of software tool n.e_ rtperh, L-i
(c)SIMULATED PERFORMANCE ALTERNATIVE, 2009 IECC, SECTION 405
An energy rating system must be utilized using approved computer software tool such as the new modified Fort
Collins version of RemRate. A preliminary rating passing the 2009 IECC must be submitted at time of application.
Rating must Include Address, Name of individual completing the rating,& Name & version of software tool. Final
rating requires a blower dWr W. Final passing rating must be submitted for certificate of occuoancv_
- DATE:
CONTRACTOR: tr v n-f PHONE: l Z -S 033
Bi