HomeMy WebLinkAbout3247 W Elizabeth St - Applications/Single Family New - 08/13/2014- " COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�®1 t Collins 281 N. College Ave. o Fort Collins, CO 80524 - Phone: 970-416-2740
�' " "R • wwwrfcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 4 VG 1 (Pte APPLICATION DATE U � J I LI
Job Site Address eX Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
Last name
First Name Middle
Street Address City State Zip�i
CONTRACTOR INFO: Company Name\ 11`"A )S'ffj02n I -PS Contractor Phoon�e�#
Lic Holder Name
d \!�N�`�.Q (u��/�Cv'r�� ��,r City of Fort Collins License #J� F (� Supervisor Cert#-��
Mailing Address `')5b IS, 1 orlcCo 2�''' eA— City � 'd'1��� State W Zip � ��
LEGAL INFO: 9 0
\ \�
Subdivision/PUD y-e 1\a � 10� Filing 4t__1_ Lot # Block # Lot Sq Ft
i �2
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) , � Total Garage Sq Ft � )
Residential Sq Ft �� Comm'I Sq. Ft # of Stories_ Bldg Height, # Dwelling Units
15' Floor Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft (�
Finished Bsmt Sq Ft # of Bedrooms IZ of Full Baths Baths 1/2 Baths # of Fireplaces
Air Conditioning: YeSNNo� Energy info: ( Circle appropriate choice) 1. ComCheck 0 2. ResCheck w/Air Sealing
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 # \Al, List appropriate option #sue
UTILITIES INFO: t
Water Tap Size_ Sewer Tap Size_ 1 __ Metered: Yes �No� Temp. Pedestal Yes[91 No
Type of Heat: � Gas ❑Electric
Electric -Main Breaker Size (Residential only) ❑150 Amp or Less 1-,-. 200 Amp Other
Subcontr ctor Info:
Electrical I �rl� Mechanical 6 Plumbing
\
Framer Roofing Concrete Fireplace zb (1_ (inAj
Solar
Other
Other
Other
Applicant: I hereby acknowledge that I have read this a plica 'on and state that the above information is correct and agree to comply with all requirements
contained herein and City of ollins or in nce n state f ws regulating building construuctiioon.\ � q -7
%/ Print Name��\�1,\ 1�� 1 \L 11.1 Phone/�J�'-I �7,�� /�
Applicant Signature /�
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
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NOTES:
1. ALL CCNSTRULTON SHALL BE PERFDRYED IN A MACE "I iNE MOST C1,11" CITY OE F'MT —NE
ETAYDARD CONSIRUCIpN SPEC FlGT.ONS.
R. WATER $FENCES TO INCWDE MRD STOPS AND NITER VAULTS IN ACCORDANCE WITH ETMDMO OEE, M
1 ALL SINGIE FAICLY WATER SERACM TO BE 3/1•, AJL MULO-FAM'.Y WATER mesas AE NOTED. A11
5 'MT SEWTO BE A' P
♦. WATENLNE JOOn CETELTICN SHAW NOT CAClED RECOMNENOEO A WASH SET BY MMUFACTUP.ER.
4. ETOST.YG IfIRIfIES ME MPROADNTE, CONTRACTOR SIOL, M:fY DEPTH AND 1AEARON OE COSTING MM
CONNECTIONS AND CROSs'N= PRIOR TO AN CONSIRUCRON.
fi. AOJUEE REWN:IW EXITING —NOM COVERS, PEOESTALS, ECT. TO IIAISHEO GRAOL
B. CONIMCTDR TO REMOVE OR MWDCN EXISTING DR/-UTIMES AS PER PROV..DER's WSIRUGRDNS
Oq:D-- W ptl T• DR.. AYS 51U11 NOT RE PLACED OVER WATER SERVICES.
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WEST ELIZABETH STREET WEST ELIZABETH STREET WEST ELIZABETH STREET
51' R.O.W. 51' R.O.W. 51' R.O.W.
131'�O19 `l le(Q
City of updated 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, to wnhouses, or multi -family
up ro .s srories,
Permit Number: / J V
Address:
DIRECTIONS: Place a check next to Prescriptive, UA, or SPA maicating cne pain cnosen. All all
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).
(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 insulatlon 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 R-15/19
foamed insul
Slab on grade floor, unheat R-10, 24" DEEP R-10, 48" DEEP
Windows U-32 U-.30
(6)TOTAL UA ALTERNATIVE (ResCheck), 2012 IRC, SECTION N1102.1.4
Submit a passing UA calculation (i.e. ResCheck) using 2012 IRCIIECC. 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: �%� f%1
(6)TOTAL UA ALTERNATIVE (ResCheck), 2012 IRC, SECTION N1102.1.4
Submit a passing UA calculation (i.e. ResCheck) using 2012 IRCIIECC. 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: �%� f%1
.r%% t
DATE:
CONTRACTOR:
-6' i'l i
PHONE: