HomeMy WebLinkAbout314 Green Leaf St - Applications/Single Family New - 03/07/2017 (8)ity Of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
11 r ,f. j� t j1 jj
APPLICATION NUMBER e) l' t L l l APPLICATION DATE 31-11 1 —11
Job Site Address_ t tL eels l- 5A r- . �.� � -� dol it" 5 e-v Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #_ W7 1
Last name t�.t�- �1 r���� First Name _ _ Middle r
Street Address City. . i /.l State�L Zip
CONTRACTOR INFO: Company Name /�I l % 14 e \ Contractor Phone #(0 Z `i Sl l
Lic Holder Name C_ .)0uj Z - 'h 1 i 11 S City of Fort Collins License # Des Supervisor Cert # 1(;
Mailing Address_ Il-i Al _�- City i U, 114 S State Zip YQ `�q_
LEGAL INFO: .
Subdivision/PUD UQ- b i--1'i (L &-e— Filing # Lot #_L14 Block # ' Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ,-9 14'� 4a Total Garage Sq Ft
t ,
Residential Sq Ft 1c+ Comm'I Sq Ft # of Stories Bldg Height ��' �/ � # Dwelling Units
1a Floor Sq Ft 2nd Floor Sq Ft r, q Z 31' Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft �i # of Bedrooms 2, # of Full Baths '/. Baths Y. Baths D--- # of Fireplaces a
Air Conditioning: Ye d f INon Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck wBlower Door, 4. Simulated Performance AltemativeN S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Foit _CoilirisStockrPIan # f 6 D List appropriate option #s
UTILITIES INFO:
Water Tap Size / Sewer Tap Size l�_ Metered: Yes NNoF] Temp. Pedestal YesN No ❑
Type of Heat: Sa: ElectriElectric Main Breaker Size (Residential only) N150 Amp or Less 200 Amp Other
Value of Construction �=LludingAlabowr, material & profit) $
Contact Name & Phone # of JOBSITE SUPERVISORc ?j
Subcontractor Info:
Electrical ftLL --Okc,6Z I C' Mechanical '1 ' 7�ec.+ lee n Plumbing
Framer Roofind-earnde,,+ kConcreteEU-AAAFireplace
Solar C 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' Fort Collins ordinances and state laws regulating building construction. �-
Applicant Signature Print Name l+✓ Cj-orJt Phone
Distributio . White —Office Yellow —Applicant Pink —WV1Ml/Stomiwater
THBS APPLOCATBON EXPIRES 180 DAYS FROM APPLICATION DATE
City of updated 2-4-2015
F„6t't Collins planning, Development & Transportation Services
Community Development A 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 3 stories.
Permit Numberr:: /,� /� �n
Act
lddreSS: , T l% (F-C: ,11 `r 6)
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-
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
kn 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.
;IGN: DATE: 17
:ONTRACTOR:
84 ull� 121"