The URL can be used to link to this page

Home My WebLink About3320 Fiore Ct - Applications/Single Family New - 03/04/2015C©MViili UM17Y ®EVELOO PMEM7 & GZ9EROHEORHOO D SEMCE S 11 6rt CoWns 201 N. College Ave. o Fort Collins, CO 50524 o Phone: 970-416-2740 r "\.www.fcgov.com/building BUILDING PERMIT APPLIC�%TION APPLICATION NUMBER �61 6 APPLICATION DATE '�%//�5 Job Site A PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone Unit # Last name First Name Middle Street Address City Staterrs� �-r Zipp CONTRACTOR INFO: Company Najme \tl YYl f S Contractor Phoon�e�# _72- l7' J 07� Lic Holder Name, z` Y � pi�C,J�1(,L��X _City of Fort Collins License #�-J`t (a� t�Supervisor Cert#-16 /�, � Mailing Address `�� S ` 1 1C� �i✓ City. ��'a ��%� State VW Zip — LEGAL LEGAL INFO: �( Subdivision/PUD��\ O�` 4t Filing # Lot #�� Block # Lot Sq Ft� �,�U rr,, 5y CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 U V Total Garage Sy Ft �, Residential Sq Ft C�+jn,,rry Comm'I Sq. Ft # of Stories \ Bldg Height_# Dwelling Units 151 Floor Sq Ft lkl: 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft U I Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths /2 Baths # of Fireplaces Air Conditioning: Ye9No� Energy info: ( Circle appropriate choice) 1. ComCheck11 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door❑ 4. Simulated Performance Alternative S. Prescriptive w/Air Sealing 6. Prescri tive w/ Blower Door City of Fort Collins Stock Plan # a�� List appropriate option #s -5�Tj 1 •��TTT1 UTILITIES INFO: ,i 3� It Water Tap Size Sewer Sewer Tap Size _ Type of Heat: [A I Gas ❑Electric Metered: Yes�No� Temp. Pedestal Yesl)N1 No Electric Main Breaker Size (Residential only) ❑l50 Amp or Less Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: _ " NY Electrical ) (1C MechanicalQ6 . Framer Solar Roofing Other Concrete Other 9200 Amp Other Plumbing 1 ll Fireplace7ZQ lk Other Applicant: I hereby acknowledge t t I have red is appli o d state that the above information is correct and agree to comply with all requirements contained herein and City of F/ IIrdin nc s a `d ate ws egulating building construction. �� -7 -7 Applicant Signature ✓ l u Print Name 1 Phone �/- 1 / 737 /� Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater MHOS' AIPP(t.lt;..A 110M E3t:( IPVE—g' 180 DAYS IFNIOW1 riaPPLICr1f113M DATE City of updated 2-18-2014 F6rt CoRins planning, Development & Transportation Services Community Development & Neighborhood Services 2014 FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM FORM 1 - Use this form for single family houses, duplex, townhouses, or multi -family u 19 0' i�s- Permit Number: Address: Dox DIRECTIONS: Place a check next to Prescriptive, UA, or SPA inclicating the patn cnosen. An air tightness Blower Door Test is required and must pass a 3 ACH leakage max. Electrically heated buildings are required to use the prescriptive path (A). C (A)PRESCRIPTIVE compliance for house, 2012 IRC, section N1102.1, climate zone 5. BUILDING ENVELOPE INSULATION R-VALUE ELECTRICALLY HEAT R-VALUE Roof insulation in attic R-49 R-49 Roof rafter insulation R-30 R-30 Wood frame wall insul r-value R-20 or 13+5ci R-20+5ci Crawl space wall R-15/19 R-15/19 Wood floor over un-cond R-30 R-30 Walls below grade R-15/19 or R-10/13 w/spray foamed insul R-15/19 Slab on grade floor, unheat R-101 24" DEEP R-101 48" DEEP Windows U-32 U-30 (B)TOTAL UA ALTERNATIVE (ResCheck), 2012 IRC, SECTION N1102.1.4 Submit a passing UA calculation (i.e. ResCheck) using 2012 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, 2012 IECC, SECTION R405 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 2012 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. DATE LSIGN: CONTRACTOR: 1 W PHONE: d-1�%��/-2