HomeMy WebLinkAbout314 Green Leaf St - Applications/Single Family New - 03/07/2017City of
F6rt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. a Fort Collins, CO 80524 • Phone: 970-416-2740
www fcgov conVbuilding614 S ; OD
BUILDING PERMIT APPLICATION
APPLICATION NUMBER U I 1 O 11019 APPLICATION DATE I L
Job Site Address 5 !4 Ot&E/w Lj5A r- . TVr,+ Cjl jlhs� C-O' Unit #
PROPERTY OWNER INFO: ((All ownerInformationis required — It Is not optional) Phone # J�� 3 ' �3 � �O 7 �
Last name� I�D+� Y1-Pw2�1{ 5 First Name_ } Middle }
Street Address �1 I �jC 1 � City ?Xi« -A 1?"I?, State 1. Zip
CONTRACTOR INFO: Company Nameail `4(w- �� alft„ kyY Contractor Phone #�1� - — Vgq
Lic Holder Name -�i Z-- �h I (� I V� S City ofFortCollins License #, � Supervisor Cert # 1 O
Mailing Address I L41Li � ��� �� City � a+ lam( Ny15 State r Zip FL-)
LEGAL INFO: v`�, ' l' ,� p � a�
SubdivisionIPUD Filing # a-2� Lot #-LAL_ Block # c ` Lot Sq Ft ' J1
CONSTRUCTION INFO: Total Building Sq Ft (not inducting basement) 4YI,+ `� r Total Garage Sq Ft `tt tJ
Residential Sq Ft'_o�" _ , i Comm'l Sq Ft i # of Stories J Bldg Height ,� � �VI # Dwelling Units
1s' Floor Sq Ft ,) 7 2n° Floor Sq Ft �t Z 3b Floor Sq Ft 3 Unfnshed Bsmt Sq Ft " D
Finished Bsmt Sq Ft # of Bedrooms vZ # of Full Baths _L % Baths __L_ Y. Baths c�- # of Fireplaces Q
Air Conditioning: Yet Non Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck wBlower Door.1_.'� 4. Simulated Performance AftemativeN 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
y of Fort C•_ollins StockPlana# List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size ice_ Metered: Yes [\]No Temp. Pedestal YesN No
Type of Heat: f L. �G&_ i ,j Electric Electric Main Breaker Size (Residential only) N]150.Amn-,9r Less 1-1200 Amp Other
Value of Consltructio (in udinlabor, at & profit) $ �a (a y Q� 4 D F
Contact Name & Phone # of JOBSITE SUPERVISOR -
Subcontractor Info: A -R
Electrical"_ �Ipe'L'o I L MechaniPlumbing T S
Framer --TNT Roofings �fi2exderii erxd&Concrete-T;tu-. --1h ,. (51ACS• Fireplace
Solar Other 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 C" f Fort Collins ordinances and state laws regulating building construction. 1
Applicant Signature Print Name (A�iVi. (:rr,� r�% PhoneT70 4,
Distnb n: White — Office Yellow — Applicant Pink — VW WV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
r`
°-_ 4` updated 2-4-2015 ,
: Fort Collins , planning, Development & Transportation Services .
Community Development A Neighborhood Services,
Z012 IRC - FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM
FORM 1- Use this form for single family houses, duplex, townhouses, or multi -family
up to s stories.
Permit Number: .7, 0 1
Address: `� � � f %- �"�" �� ;1, S Ll'D ���� �
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). '
(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-
15 spray foam at rim joist)
R-15/19
Slab on grade floor, unheat
R-10, 24" DEEP
R-10, 48" DEEP
Windows
• U-0.32
U-0.30
(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. ResCherk)-
(C)SIMULATED PERFORMANCE ALTERNATIVE, 2012 IECC, SECTION R405
M 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
passing rating must be submitted for certificate of occupancy.
f DATE: 3 I
:ONTRACTOR: �"I`��� � ��► ,�S �;zw PHONE:`i7U -ZL2-YIY("