HomeMy WebLinkAbout1940 Raven View Rd - Applications/Single Family New - 12/20/2011City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N. College Ave. a Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 61111 0 o 1 APPLICATION DATE ��)�I l'
Job Site Address a z/o 9-Avers !✓� {,�/ 57 If. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # �l �_ 0So
Last name 4 , )i a de F C , L /L � First Name / Middle
Street Address o19H �3rgd {o>'d 5eC - nn City /J_�C. State � � zip o
CONTRACTOR INFO: Company Name vtG1j DY at/e laame n J Contractor Phone # y9�`d.�ob
Lic Holder Name �l 2Sc5 W -e S City of Fort
Collins License # t� 269 / Supervisor Cert # 5 �/ 2-
Mailing Address 27 .7 D r�.d -F04 S ei, City % State (.._. zip
LEGAL INFO: �� G�V%%�
Subdivision/PUD l�G!/ / rn am% / // Filing # Lot #4• l- Block # Lot Sq Ft�
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �! 6 lj Total Garage Sq Ft
Residential Sq Ft5.76
116 8' Comm'I Sq Ft # of Stories_ Bldg Height # Dwelling Units
15' Floor Sq Ft 5 7 b 2nd Floor Sq Ft S 9� 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths _L_ 3/A Baths J— '/2 Baths J__ # of Fireplaces X
Air Conditioning: Yes Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # L-/-:J List appropriate option #s
UTILITIES INFO: /t ��
Water Tap Size Sewer Tap Size Ll Metered: or No Temp. Pedestal or No
Type of Heat: gGas ❑ Electric Electric Main Breaker Size (Residential only) X150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ /
Description of Work: /V e M/ _> /n 4lt m j' /V /f /1,4 e-- 'r �e_ d , 111 /7` A om 4y rf e e ►-
Contact Name & Phone # of JOBSITE SUPERVISOR: IAJa V H -e- `f W /
Subcontractor Info: /
Electrical Z. PGI'Yid FLCCy, L Mechaanical r r�yy � y Plumbing 5
Framer l7 Roofing 7YQ /11yr 4Of hS Concrete ✓ eFireplace
_��
Solar
Other
Other
Other
Applicant: I hereby acknowledge that I have read this application nd state that the above information is correct and agree to comply with all requirements
contained herein and City of ort Collins dinars es and sta I s e ulatmg building construction.
Applicant Signature Print Name -e- 2 /{Phone 7
Distribution: White — Office Yellow— Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
` it'j of Planning, Development & Transportation Services
,Fort Collins �,... Community Development & Neighborhood Services
2005 FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM
updated 3-2010
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 choose between an
Air sealing checklist or Blower Door Test.
(A)PRESCRIPTIVE compliance for house with natural gas heating and wood framing, N1111.1
Insulation R-value
Standard HVAC equipment,
80%AFUE)
High efficiency HVAC equipment
(90%AFUE
Method 1
2x6 Walls
Method 2
2x4 Walls
Method 3
2x6 Walls
Method 4
2x4 Walls
Exterior walls above grade frame
18
-
38
19
13/10
30
15
3
38
19
13110
30
18
-
38
19'
-
1 19
15
-
38
19
13110
1 19
Exterior insulated sheathing
Ceiling/attic
Crawls ace walls
Basement walls (frame/continous)
Floor over un-cond space
Circle one: Air Sealing Checklist
Blower Door Test
Ili I(B)TOTAL UA ALTERNATIVE, (REScheck) SECTION N1111.5 I
REScheck must show a passing score of 10% better than code minimum. Submit calculations demonstrating
equivalency to one of the prescriptive methods above. 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. Air
Sealing Checklist or Blower Door Test is required.
Circle one: Air Sealing Checklist Mower Door T
(C)SIMULATED PERFORMANCE ALTERNATIVE, SECTION N1113
Current accredited programs: E-star of Colorado or Enegy logic
HERS accredited energy rating system. Must submit HERS index of 94 maximum. A preliminary rating must be
submitted at time of application and must include Address of residence; Name of individual completing the
rating/compliance form; Name & version of software tool. Final rating requires a blower door test.
A