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Home My WebLink About932 E PITKIN ST - APPLICATIONS - 10/1/2019City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SER\/ICES Fort Collins 281 N. College Ave. •Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcsov.com/buildine BUILDING PERMIT APPLICATION � FOROFFICEUSE j APPLICATION NUMBER: \ / APPLICATION DATE: Job Site Address y36- �—1 7' � d(«( s— .. Unit# PROPERTY OWNER INFO: (All owner information is required — NOT optional) Q Last Name dill. bsW— First Name Middle Street Address City State Zip Phone # %,10 i7( I c ,P Email C& V&A /1 03 rry C_ Cri,,n Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Co any Name I—P'r L.i-� -2 (if+Prl-I-t-I �(L{y{`� mfti License Holder Name �� LIC# 16-68 CERT# LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft. Residential Sq Ft Commercial Sq Ft # of Stories I Bldg Ht I lP # of Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft Finished Basement Sq Ft Baths % Baths _ ENERGY INFORMATION: (CHECK ONE) # of Bedrooms # Fireplaces # of Full Baths ComCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑ prescriptive❑ Alternative) Air Conditioning? YES ❑ NO ❑ City of Fort Collins Approved Stock Plan # SPO List Option #s UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) For Commercial remodels and tenant finishes, please answer the following questions: Is the remodel/tenant finishes for an existing or new tenant? (Please check one) ERI(Energy Rating Index) ❑ ❑ No ❑ ❑ Other ❑ Existing Tenant❑ New Tenant❑ If for a new tenant, is this the first tenant to occupy this space? Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space? Are there any exterior building If yes, please describe: (including mechanical) associated Lr.CTi�c, �ct i iE�1C the work? Yes R No ❑ 116 rr�ec-4C t cAc t�� K e of Construction (materials and labor): $ 90, 0co ription of Work: I r\►-ecO pl&,,nod lez T / , cA(7b AwS+- 14 THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE LEl City of Updated 02/11/2019 art Collins Planning, Development & Transportation Services Community Development & Neighborhood Services FORT COLLINS RESIDENTIAL ENERGY CODE COMPLIANCE FORM FORM 1 — Use this form for one and two family dwellings, townhouses, or multifamily up to 3 stories :yIONS:GPIa& a".check O next to Prescriptive, UA, SPA or ERI indicating the path chosen. An air tightness Blower Door Test is required of all paths and must be equal to or less than 3 ACH50. Electrically heated buildings are required to use the prescriptive path (A). (A) PRESCRIPTIVE compliance for house, 2018 IRC, section N1102.1, Climate Zone 5 UILDING ENVELOPE INSULATION R-VALUE ELECTRICALLY HEATED R-VALUE Roof insulation in attic R-49 R-49 Roof rafter insulation R-30 R-30 Wood frame wall insulation R-20 or R-13+R-5ci* R-20+ R-5ci* Crawl space wall R-15ci*/19 or R-10ci*/13 w/ R-15 spray foam at rim joist R-15ci*/19 Wood floor (over unconditioned space) R-30 R-30 Walls below grade R-15ci*/19 or R-10ci*/13 w/ R-15 spray foam at rim joist R-15ci*/19 Slab on grade floor (insulation must extend to top of slab) R-10, 24" deep R-10, 36" deep Windows I U-0.30 I U-0.30 *ci denotes Continuous Insulation lie: insulation such as rigid foam board that's not broken by framing cavity) (B) TOTAL UA ALTERNATIVE (REScheck), 2018 IRC, section N1102.1.4 Submit a passing UA calculation (REScheck) using 2018 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 and version of software tool (i.e. REScheck). I I (C) SIMULATED PERFORMANCE ALTERNATIVE, 2018 IECC, section R405 An energy rating system (HERS rating) must be utilized using approved and current software tools such as REM/Rate, Ekotrope, or EnergyGauge. A preliminary/projected rating passing 2018 IECC must be submitted at time of application. Rating must include Address, Name of certified Energy Rater, and version of software. Final ratings require a blower door test, must include the Home Energy Rating Certificate and must be submitted for certificate of occupancy. I I (D) ENERGY RATING INDEX (ERI) COMPLIANCE ALTERNATIVE, 2018 IECC, section R406 An energy rating system must be utilized using approved and current software tools such as REM/Rate, Ekotrope, or EnergyGauge. A preliminary/projected ERI analysis must be submitted and shown to have an ERI index of Jes�than or equal to 61. This is specific to climate zone 5 (found in 2018IECC table R406.4 Signatu Date:q/a/ 17 Phone:( Q d 2018 Residential Energy Code Compliance Form V2 02/11/2019