HomeMy WebLinkAbout2307 Plains Ct - Applications/Addition or Alteration - 05/25/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rtCollins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER L/Q2-fi 7-:2 -2- • APPLICATION DATE M&%/ 2-5 • ZC,I (.,i
Job Site Address �)' 50
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # ! 90 -91
J _ S
NA
Last name ( � i&'r l ( at WA First Name 1� QMiddle c
Street Address 0� V� I City R, 6 1A - State-(0-1--Zip
CONTRACTOR INFO: Company Name Oiunpo-s Contractor Phone # Ct !)o - a I S - S 41 c�j
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) I '7C4'-f Total Garage Sq Ft
Residential Sq Ft 5-10 Comm'( Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material/f& profit) $ ;5�(��
Description of Work: aC;1(li''F` n' o h4 C`�t' � r hC�C1G ; � ��rl In P'i7'r6
i
.1 I ^ LI
Contact Name & ,Phone # of JOBSITE SUPERVISOR: ' Yn. D - 7
Subcontractor Info
Electrical Mechanical AA Plumbing
';Framer of iGCl t ! ri&w►- Roofing f tmeolt/61G- Concrete Fireplace
(Solar Mt
�jApplicant: I hereby ai
coftained herein and
Applicant Signature
I�b�v1f�
Other
Other
Other
that I have read thi application and state that the above information is correct and agree to comply with all requirements
s o 'n ce nd state laws regulating building construction.
Print Name�4r-.-1 Q % i V R Phone q7C9 ^ Lf
09-1:7. 1. alku qz-'w-�-m2
istribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of
� o�rt Collins
updated 2-4-2015
Planning, Development & Transportation Services
Community Development & Neighborhood Services
2012 IRC - FOR T COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM
FORM 1 - Use this form for single family houses, duplex, townhouses, or multi -family
Permit Number:
Address: 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 3 ACH leakage max. Electrically
heated buildings are required to use the prescriptive path (A).
L-
(A)PRESCRIPTIVE compliance for house, 2012 IRC, section N1102.1, climate zone S.
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/ R-
R-15/19
15 spray foam at rim joist)
Slab on grade floor, unheat
R-10, 24" DEEP
R-10, 48" DEEP
Windows
U-0.32
U-0.30
21,
(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 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
oassinq rating must be submitted for certificate of occupancy.
SIGN: DATE: 5%(p
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CONTRACTOR: (�A� PHONE: q`iD o� IS y .