HomeMy WebLinkAbout2314 Nancy Gray Ave - Applications/Single Family New - 07/24/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 6/I I APPLICATION DATE_ 71 WAI/��
Job Site Address C-ATcj.�j Ts�v Q nvt— Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # LC-,
Last name �rM -JO\,-j C"1 First Name Middle
Street Address E,l\QrFV CSN City ,���\('1� State Zip
CONTRACTOR INFO: Company Name St^Lc�� � �s� � \�LI�i�Contractor Phone #&--6 oi� �"yx CSC
Lic Holder Name ,1C -y',-A City of Fort Collins License #�-���� Supervisor Cert #
Mailing Address City
State Zip
LEGAL INFO:
Subdivision/PUD ��c�Q �,,�� Filing #(N'� Lot # C�\ Block # QC) Lot Sq Ft�g�tp
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) \ \-all Total Garage Sq Ft
Residential Sq Ft i1_ Comm'I Sq Ft "— # of Stories \ Bldg Height # Dwelling Units 1
15t Floor Sq Ft \ �%2°d Floor Sq Ft 5Q"1 3rd Floor Sq Ft Unfiished Bsmt Sq Ft \ �
Finished Bsmt Sq Ft # of Bedrooms kS # of Full Baths :X, Baths '/z Baths # of Fireplaces
Air Conditioning: (EesN No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4� imulaatted^Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # ��List appropriate option #s
UTILITIES INFO:
Water Tap Size q Sewer Tap Size yt t Metered. Ye or No Temp. Pedestal Ye or No
Type of Heat: 'XGas ❑ Electric Electric Main Breaker Size (Residential only) X150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: i Y�rr\ / AV-, ' �A&R9,
Subcontractor Info: \\r
Electrical IN\\\QS'� Mechanical �t . \ S \ 2\C� Plumbing
Framer T\ \_4 Roofing) h%h& Q c-f�--If--oncrete Fireplace \ A,ItSM 7c,\, Yv
Solar
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 Fort Collins ordinances and state laws regulating building construction.
Applicant Signature LiLL
Print Name( QL, 5����a� Phone
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THUS APPLOCAT90H EXPIRES 180 DAYS FROM APPLICATION DATE
0ty of updated 1-31-2012
Fort Collins Planning, Development & Transportation Services
Community Development & Neighborhood Services
2012 FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM
FORM I -
for sing/e
form 3 must be used), use this form
ru/ti-fami/v uv to 3 stories
Permit Number: — --
Address: 6�,31\A�—
DIRECTIONS: Place a check next to Prescriptive, UA, or SPA indicating the path chosen. An air
tightness Blower Door Test is required and must pass a 4 ACH leakage max.
(A)PRESCRIPTIVE compliance for house, 2009 IRC, section N1102.1, climate zone S.
BUILDING ENVELOPE JINSULATION R-VALUE
Wood frame wall insul r-value R-20 or 13+5ci
Metal frame wall insul r-value R-13+9ci or R-19+8
Crawl space wall R-13 or R-10ci
Roof insulation in attic R-38
Roof rafter insulation R-30
Walls below grade R-13 / R-10ci
Wood floor over un-cond R-30
Slab on grade floor, unheat R-10, 24" DEEP
Windows U-35
(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).
(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 door test. Final passing rating must be submitted for certificate of occupancy.
D.
CONTRACTOR:
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