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HomeMy WebLinkAbout1792 Fromme Prairie Way - Applications/Single Family New - 04/07/2015City Of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F®rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 vvvvukfcgovcom/building X10d-3 BUILDING PERMIT APPLICATION APPLICATION NUMBER �1 I OVA ✓ V` " APPLICATION DATE Job Site Address 9-1 9 Q FgbixIMs_ ramai t- t-. h� Unit # PROPERTY OWNER INFO: (All owner information is required - it Is not optional) Phone # C1% D L O Jr' 1 5 2 5 Last name ,A 5fa 1 C_ (WI- EST.4Tf. LLL First Name Middle Street Address I Q& OR City FC_ state G C) Zip-5-6 5 a 5 CONTRACTOR INFO: Company Name Ph\As te&-rr CeosTutrttw.���WL. Contractor Phone# Cl7©-XQ- 199%q Lic Holder Name 0 L \X- 91r\% LL% 05 City of Fort Collins License # 0 Supervisor Cert# 16'69 Mailing Address1'i l g OLV E-.5g" G i- S T£. B Cityj_ -C--- State 4 Q Zip 9 Q 5 C LEGAL INFO: Subdivision/PUD f R R1 fLt E_ 01 L - A L-IrL Filing # cam] Lot # __!D. Block # Lot Sq Ft Q 44 CONSTRUCTION INFO: Total Building Sq Ft (not inaudng basement) Total Garage Sq Ft " 1 of 1 I It Residential Sq Ft 3 Comm'I Sq Ft # of Stories N _ Bldg Height_ 33 # Dwelling Units 151 Floor Sq Ft i ©® (0 2n° Floor Sq Ft S -1. 7 3i° Floor Sq Ft Finished Bsmt Sq Ft _01 A # of Bedrooms # of Full Baths % Baths '/ Baths _L_ # of Fireplaces19 Air Conditioning: Ye4ANon Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 3. ResChedt wBlower Door ❑ 4. Simulated Performance Alternative❑ 5- Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option Unfiished Bsmt Sq Ft M J h UTILITIES INFO: 16 Water Tap Size �_ Sewer Tap Size _ Metered: Yes jj�fNNJ Temp. Pedestal Yesx No ❑ Type of Heat: r Gas Electric Electric Main Breaker Size (Residential only) �150 Amp or Less ❑ 200 Amp Other Value of Construction (mduding labor, material & profit) S Q07T 30 Description of Work: i4 ' tfayir 4'*i'i e-s h 51 A:h Lf- F AM I L't' Contact Name & Phone # of JOBSITE SUPERVISOR: C"7D - RQ A - gcf %9 - Subcontractor Info: Electrical A LC �;-LE r po c. Mechanical P! 'AFf 6 T 'T,,4iM Q Plumbing Framer [3tk6e-i-- Roofing -65Q�EOT Concrete Solar Other Other FireplaceQ C L 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 art Collins ordinances and state laws regulating building construction. Applicant Signature ram- o �I L p /Y1 Print Name Phone —?-ZV o / Distribution: White -Office Yellow -Applicant Pink -VWVW/Stormwater 7HIS APPUCATOGN MPE RES 180 DAYS FROM APPLECATOOM DATE 75(:ZaS-&0 � ,'CrYtf updated 1-31-2012C, pTransportation Services Community Development & Neighborhood Services 2012 FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCEFORM FORM 1 - NON -ELECTRIC HEAT (If using a%cheat form 3 must be used), use th/s form for sing/e fami/y houses, dup/err, townhouses, or molt/ fam//y up to 3 stories, I Number: i7q.I, i­7 qQ f-7 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 ACIH leakage max. <mjvKc3LK11J1lvE compliance for BUILDING; ENVELOPE Wood frame wall insul r-value Metal frame wall insul r-value Crawl space wail Roof insulation in attic Roof rafter insulation Walls below grade Wood floor over un-cond 2009 IRC, section N1102. INSULATION R-VALUE R-20 or 13+5ci R-13+90 or R-19+8 R-13 or R-10ci R-38 R-30 R-13 / R-loci R-30 Slab on grade floor, unheat R-10, 24" DEEP Windows U-.35 (B)T ITAL 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)_ climate zone 5. (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 occuoancv_