HomeMy WebLinkAbout432 Cajetan St - Applications/Single Family New - 05/30/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For+t CoWnS 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
{� 'y BUILDING PERMIT APPLICATION
.APPLICATION NUMBER t�. J I �{ O V01 0 APPLICATION DATE � '3y —
Job Site
PROPERTY OWNER INFO: (All owner information Is required - it is not optional) Phone
Unit#
Last name tit & L L L First Name Middle
Street Address -3�OtrA){ s r n City I {-6__ CD _ Ir? State CO Zip
CONTRACTOR INFO: Company Name D r� LO 0 p..p�ontractor Phone # �(`�D -
Lic Holder Name �7 K9,V-rtY\- rc�—r\ City of Fort Collins,License # " 765 Supervisor Cert #
Mailing Address 7 �� �^-6rtr, City r;f 1 ���`�5 State Zip Q z
LEGAL INFO Y
Subdivision/PUD B 16 t►TI� 4 Filing # III
# Cif Block #�_ Lot Sq Ft�1le3
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) II i C) Total Garage Sq Ft H52-
Residential Sq Ft {7 [D Comm'I Sq Ft # of Stories 7, Bldg Height W # Dwelling Units
I�' Floor Sq Ft $Z7 2n° Floor Sq Ft 103 3" Floor Sq Ft Unfished'Bsmt Sq Ft�v
Finished Bsmt Sq Ft # of Bedrooms 3 # of Full Baths 2 % Baths _ '/ Baths L # of Fireplaces
Air Conditioning: Ye& Energy info:( Circle appropriate choi ) 1. ComCheck� 2. ResCheckw/Air Sealing ❑
3. ResCheck w/Blower'Doorl 14. Simulated Performance Alternative
III . Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Dooll
##
City of Fort Collins Stock Plan I List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: YesnNco Temp. Pedestal Ye Noo
Type. of Heat:InGas ❑ Electric Electric Main Breaker Size (Reside "I (Residential only) �150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor, material & profit) $ 1 1 3 1 6 O • 0 0
Description of Work: %i�1e Nt' o�JaCW `7'fBCIL- (ctA
Contact Name & Phone # of JOBSITE SUPERVISOR: Ililft �{,r.�(a'� q jf/ 77
Subcontractor Info: 'sfi�
Electrical P, I"aw �TkeueG ' Mechanical A,r- "�OC'�Plumbing%,(rerg;e Qltkruhr�
i
Framer � l7fe W' Roofing I104 bFr'Concrete 5JA
. 6r. G. Fireplace
Solar Other Other Other
Applicant: I hereby acknowledge that I have read this application and slate that theabove information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordinance and at laws regulating building construction. (� /- y
Applicant Signature Print Namer!:Jis '-€'; �/l Phone L -0
Distribution: White -Office Yellow -Applicant Pink -WVWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
updated 1-31-2012
Ali ����flV� Pii�rillil•ig, Development & Trarfsp®rtatiOP- 8tadlfICes
Cortnrraunity Develop"nelt & Neighborhood Services
heat used)r use this roll v
roll
to 3 .9to es.
IF'�@•.NCfli�d I�ilrflf3�N:
Address;
®Fi��� a ®N�o �la�e a �iae slat € t�aesca3Pzive, CGS, iiN � A i3ar i fi�ae} t6ae patio aseaa. Aca air
%ightruess 010va®c Door is yegasirad �anad .��:as� mass a ;3 A l leaka€oe saaa .
OUSILDENG ENVELOPE
Wood frame wall insul r-value
Metal frame wall insul r-value
Crawl space wail _
.Roof insulation in attic
Roos: raster insulation
Wails below grade
Wood floor over un-cond
Slab on grade floor, unheaY
for Iw 3use, 2009 2-RC, sef son PSa •a
SNSULA 01 Al R-ar'%ALOE
� R 20 or 13+5c1
R 13 9,ci or R-19 .-8
RR-:13 or R-IOcI
P:-38
R-30
— w R_13 / R-1 Oci—
s R-30
1210, 24" DEREP
clifilate zone S.
L�m.-..------ --- -- -- --
Submit a passing UA calculation (i.e. ResCheck) using 2009 IRC/IECC. The rating must be subrnirLed 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).
(C)SImULA a D PEPla(OGjV64IANCE AE,T;Ei NA —I rE, 2COO jicCC, fO-C XON 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
_..:-- ..,�� tiimnor dnnr tact _ Final passim ratina must be submitted for certiifrate of occuRancy.
SIGN: A7 DATE:
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