HomeMy WebLinkAbout3339 W Elizabeth St - Applications/Single Family New - 12/09/2014F6rt
Cj,t� Fin COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE I Z - U `l - -2dI A .
Job Site Address 2,+d-eg !&+ Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #.
Last name
First Name Middle
Street Address �"(� City f State Zip
CONTRACTOR INFO: Company Name � I`Gin PAC Qb 9-"C+J �tttrM�ef Contractor Phone # q70-ZS-/- &.3OS-
Lic Holder Name 5r4l/ng OL i A-�V.s r City of Fort Collins License # D - :3 u Z Supervisor Cert #2,1.12-P1
Mailing Address L.1 c3 S O S - MC K4(0 City b'�' hu-e V- State 1 0 Zip &(A 31
LEGAL INFO:
Subdivision/PUD 1J -2 l v L 2%� Filing # Lot # `'l Block # S Lot Sq Ft i O 6 U
CONSTRUCTION INFO: ' Total Building Sq Ft (not including basement) Total Garage Sq Ft
GO
Residential Sq Ft Comm'I Sq Ft # of Stories_I Bldg Height # Dwelling Units
P
1 st Floor Sq Ft 2"d Floor Sq Ft 3'd Floor Sq Ft
Unfiished Bsmt Sq Ft �y�
Finished Bsmt Sq Ft — # of Bedrooms 3 # of Full Baths 2-- % Baths '/2 Baths # of Fireplaces
Air Conditioning: 0e No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealin
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 # 2 : List appropriate option #sue%2
UTILITIES INFO: l % 1 (
Water Tap Size 3 Sewer Tap Size �G Metered: & or No Temp. Pedestal 6e or No
Type of Heat: RGas ❑ Electric Electric Main Breaker Size (Residential only) 050 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $,
Description of Work: -D I q3 % IjeUa�Fvvt -(D
Contact Name & Phone # of JOBSITE SUPERVISOR:-
TOW-,
Subcontractor Info:
Electrical (uAe
Framer
Solar
Roofing
Other
Mechanical jgt1t'th 444-�Vl 1 .4"YL Plumbing f��r r h '
i
Concrete Fireplace
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 Print Nam c7y'` •Gib' Phone%7Q'"3��'�3U�5
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City o'rupdated 2-18-2014
Fort Collins 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, towrnhouses, or multi -family
e,-rrrupi o 3rstories.
Permit Number:
Address:
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 3 ACH leakage max. Electrically
/ heated buildings are required to use the prescriptive path (A).
V
(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-10, 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.
SIGN: `�(��/�,
DATE:
CONTRACTOR: ?��1 U / % �%/�'i G> Ivli^�f
PHONE: %aU=/