HomeMy WebLinkAbout316 N Loomis Ave - Applications/Addition or Alteration - 11/08/2013COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort of
281 N. College Ave. * Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION APPLICATION DATE
Job Site Address 316 N. L&lm 5 ,�fa��_ Unit #
PROPERTY OWNER INFO)): (All owwner information is required - it is not
/optional) Phone # /J
Last name �N"Wil `A// h// First Name /fTo/%%/%%�'S/ Middle /�
Street Address r� /V • �'! �T�(%�a� �" Lcity d Ui���LGI��/P� State zip z!5-ax I
CONTRACTOR INFO: / Company Name Th6MO S %►7�+t�rS Contractor Phone # ) 22'�-`�3 U 3
Lic Holder Name % Orr1 f \ 0 ehe ` City of Fort Collins License # DlU 6/ Supervisor Cent #
Mailing Address PO /30?f Be Cit0,-/ Coa//1 of State C_ C/ zip SUS
LEGAL INFO: L/ 9 (,
Subdivision/PUD Co ffU'1j 12, S✓b Filing # Lot # 22, Block # 273 Lot Sq Ft 14'y-K�o
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) CO-5-0 Total Garage Sq Ft /J//f
Residential Sq Ft 6 0 Comm'I Sq Ft # of Stories % Bldg Height 22 'B # Dwelling Units
1 s' Floor Sq Ft . -0 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft re 2 7
Finished Bsmt Sq Ft # of Bedrooms 2 # of Full Baths 2 3/a Baths '/2 Baths # of Fireplaces
Air Conditioning: 0
No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap L�r45�l7 L:X p Size � Sewer Tap Size Metered: Yes or No emp. Pedestal Yes or No
Type of Heat: VGas ❑ Electric Electric Main Breaker Size (Residential only) 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 1 49 ► 33s
Description of Work: /Y e-en d re ;J5-S 3- •S; 7 c(P J cy).,e /drib i i-ce 6/e s.Zc' ce
Contact Name & Phone # of JOBSITE SUPERVISOR: / C7nj M4"-el -%S
Subcontractor Info:
/n� -�^�} / t
Electrical t6 /r Mechanical / /7 0 � / Plumbing / P /S"
Framer
QMJ�►d,»yi Roofing dG e� Concrete V �' /�1C11� Fireplace
Solar / VA Other Other Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F rt Collin,9diWinangegoand st t aws regulating building construction.
Applicant Signature f Print Name � Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of updated 11-10-201)
Flirt Collins Planning, Development & Transportation Services
Community Development & Neighborhood Services
2012 FORT COLLINs RESIDENTIAL ENERGY CODE COMPLIANCE FORM
FORM 1 - NON -ELECTRIC HEAT (If using elec heat form 3 must be used), use this
form for single famity_houses, dup/ex, townhouses, or multi -family up to 3
4
stories. =� ,r, �.�:. �� t.•.,. -'%
01
(Address: 7 / (O / Y. 14.1t°
DIRECTIONS: Place a check next to Prescriptive, UA, or SPA indicating the path chosen. Next, circle the
method within that path you intend to follow. If choosing prescriptive or UA, the applicant must also
cho a between Air sealing or Blower Door Test.
(A)PRESCRIPTIVE compliance for house, 2009 IRC, section N1102.1, climate zone S.
BUILDING ENVELOPE
INSULATION R-VALUE
pICFr-e- -E1Lt5T. j
Sk`1�tC��� C S , lob �^
Wood frame wall insul r-value
R-2 or 13+5ci
Metal frame wall insul r-value
R-13+9ci or R-19+8
Crawl space wall /ji/r
R-13 or R-loci
Roof insulation in attic
R-38
Roof rafter insulation
R-30
Walls below grade
R-13 / R-loci
Wood floor over un-cond
R-30
Slab on grade floor, unheat
R-10, 24" DEEP
Windows
U-.35 (t'�)
I I(B)TOTAL UA ALTERNATIVE (ResCheck), 2009 IRC, SECTION N1102.1.3
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 (i.e. ResCheck). Air Sealino Checklist or Blower Door Test is required.
Circle one for either method above: Air Sealing(visual inspection) Blower Door Test
(C)SIMULATED PERFORMANCE ALTERNATIVE, 2009 IECC, SECTION 40S
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 door test. Final gassinq rating must be submitted for certificate of occuoancv.
SIGN:
DATE:
CONTRACTOR: O �'1 1�2e�
PHONE:
LIM