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HomeMy WebLinkAbout621 WOOD ST - APPLICATIONS - 4/25/2013City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building Q BUILDING PERMIT APPLICATION APPLICATION NUMBER 021 *0( { D f, / APPLICATION DATE Job Site Address Unit # PROPERTY OWNER INFO; (All owner Information is required - it is not optional) Phone # 1, 7© - 26 3- o V 5�1 Last name First Name��_ T AUxalC ECMiddle Street Address l n 2-` Nzl� , �J , City jlr t�Ll JA 4-5 Statef40-_Zip CONTRACTOR INFO: Company Name — � Contractor Phone # 170--Z[5 -05-d 7 Lic Holder Name City of Fort Collins License # Supervisor Cert #. Mailing Address City State Zip_ LEGAL INFO: t l- Subdivision/PUD�.r-19� ��� LL- Filing # Lot #--&-- Block #3910Lot Sq Ft E71n� CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 2-:-1 L Total Garage Sq Ft t Residential Sq Ft Comm'I Sq Ft 1� # of Stories �. Bldg Height_ # Dwelling Units 151 Floor Sq Ft �(P 2ntl Floor Sq Ft lJ/ 31 Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft j2j AD # of Bedrooms # of Full Baths '/4 Baths '/z Baths # of Fireplaces _�_k�vn_nj) Air Conditioning: (0 No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative QPrescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Water Tap Size Sewer Tap Size List appropriate option #s Metered: tG or No Temp. Pedestal Yes or QP Type of Heat: VGas ❑ Electric Electric Main Breaker Size (Residential only) ''W150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ Description of Work: Contact Name & Phone # of JOBSITE SUPERVISOR: 3 �i Subcontractor Inf : Electrical "echanical j���6 ,b� Plumbing w Framer Roofing 12AJ4-1014-A-1 Concrete Fireplace Solar Other Other Other Applicant: I hereby acknowledge that I haye read this pplication and state that the above information is correct and agree to comply with all requirements contained herein and City Collins dinanc nd state laws regulating building construction. Applicant Signature Print Name Phone '1 ✓v ��3"1 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Cltyof updated 1-31-2012 Fort Co ins Planning, Development & Transportation Services outy Development & Neighborhood Services 2012 FORT COL EIAL ENERGY CODE COMPLIANCE FORM FORM 1 - NON -ELECTRIC HEAT (If using elec heat form 3 must be used), use this form for single family houses, duplex, townhouses, or multi -family up to 3 stories, Permit Number: 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 4 ACH leakage max. (A)PRESCRIPTIVE compliance for house, 2009 IRC, section N1102.1, climate zone 5. . BUILDING ENVELOPE INSULATION R-VALUE Wood frame wall insul r-value R-20 or 13+5ci Metal frame wall insul r-value R-13+9ci or R-19+8 Crawl space wall R-13 or R-10ci Roof insulation in attic R-38 Roof rafter insulation R-30 Walls below grade R-13 / R-10ci Wood floor over un-cond R-30 Slab on grade floor, unheat R-10, 24" DEEP Windows U-35 I I(B)TOTAL UA ALTERNATIVE (ResCheck), 2009 IRC, SECTION N1102.1.3 I. Submit a passing UA calculation (i.e. ResCheck) using 2009 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, 2009 IECC, SECTION 405 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 2009 IECC must be submitted at time of application. Rating must include Address, Name of individual completing the rating,& Name & version of software tool. Final ratina reouires a blower door test. Final passino ratino must be submitted for certificate of occupancy. esb7