HomeMy WebLinkAbout314 Green Leaf St - Applications/Single Family New - 03/07/2017 (6)City 01f COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www fcgov aorn&uilding ay S
BUILDING PERMIT APPLICATION
APPLICATION NUMBER tJ I ) V I I I �Y APPLICATION DATE 73 ! 7/1-7
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Job Site Address l q- 'i2 �. - J z + dol llw 5 tau Unit #
PROPERTY OWNER INFO: ((All owner information is required- it Is not optional) Phone # �,c�
Last name First First Name: '. ,_,..� �! Middle_f
Street Address �'X 1 city. 1 i �. t I State r_Zip
CONTRACTOR INFO: Company Name rW % \ 4X ek t \ 0 4- Q1.utL,.x Contractor Phone #fi`i
Lic Holder Name Jt 1 d hlip S City of Fort Collins License # 0 Supervisor Cert #
Mailing Address I-i ?�Cth 2 City �-2i~ 1IA State l✓D zip 3l.'`;a
LEGAL INFO: -
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Subdivision/PUD �.11.V. rJ cal `t � a eii Filing # Lot # _ Block #� Lot Sq Ft 5 ��
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CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 1 w Total Garage Sq Ft 5 LQ D
Residential Sq Ft _ F t -� Comm'I Sq Ft # of Stories Bldg Height 5i{ �� # Dwelling Units
1s' Floor Sq Ft `� 2nd Floor Sq Ft (04 ' 3'd Floor Sq Ft *l U li R Unfiished Bsmt Sq Ft `
Finished Bsmt Sq Ft # of Bedrooms Z # of Full Baths '/. Baths %Baths # of Fireplaces
Air Conditioning: Y*qn Energy info: ( Circie appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing v
3. ResCheck wBlower �Dfff��o���!!lttor 4. Simulated Performance Altematil S. Prescriptive w/Air Sealing 11 6. Prescriptive w/ Blower Doom
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Ciryof Fort.'Collins Stock:P,lan.# f �� D List appropriate, option #s _�
UTILITIES INFO:
Water Tap Size
Type of Heat: G LILV � i � EI r_
Sewer Tap Size 7 Metered: Yes NNoo Temp. Pedestal YeSL_1.J No
ectric - Electric Main Breaker Size,(Residential only) N150 Amp or,Less ❑ 200 Amp Other
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: f
Electrical - E �P[4f- I L Mechanical 't e.-A� e . A cant (� Plumbing .1- �S
Framer l i�i 1 Roofing �xa.Pj d r►�- "f<Concretel;u� �t��,,.. 618a Fireplace
Solar _ _ Other Other Other
Applicant: I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and C• Fort Collins ordinances and state laws regulating building construction. II
Applicant Signature Print Name � 1 A 0 lJW D i A� U Phone l -70 '6&
Distribution: White — Office Yellow — Applicant Pink — W W/Stormwater
.� t•' i•' 1 lam. -i ! s !� x1 i }
„.��rt C011i�tS Planning, updated 2-4-2015
ng, Development & Transportation Services
Community Development & Neighborhood Services
2012 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.
)ermit Number:
lddress: `61 T
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 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/ 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. 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 cempleting the rating,& Name & version of software tool. Final rating requires a blower door test. Final
passing rating must be submitted for certificate of occupancy.
;IGN: ��.. �► Vlr°' : F DATE: 3 % %7
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:ONTRACTOR: PHONE:Ti;
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