HomeMy WebLinkAbout3903 Mesa Verde St - Miscellaneous - 01/01/2000Fort Collins residential energy code 7196
Insulation disclosure form
.roo acaress: zlwj Mesa Verde St.
General contractor: Richmond American Hanes
Insulation contractor: Gale Insulation
Insulation
Location
Materials
Thickness
Rated
R-value
Location
IntIext
Notes
Flat or vaulted ceilings
with attics above
Unfaced
12
38
ceilings with enclosed
rafter cavities
Fiberglass
14.75
38
r
Frame walls and rim/band
Joists _ to exterior
Unfaced
6.25
19
Unfaced
3.5
Kraft
Frame walls and rimlband
louts — to attic, garage
Frame floor -cantilever
Frame floor - over garage or
crawl space
Kraft
10
30
Slaoon-grads (0.12")
Crawl space walls
Unfaced
6.25
19
Basement walls
Vinyl
3.5
11
Certification
....:....::::: •.:.
tMl..urgry that the above -listed Insulation was Installed in Bu bukWv at fM sb. beatloru In MdOt ance with the - .. . .
current requirements of the City of Fort Coklns Resdentlai Energy Cods, and that it was Installed In accordance with
the applicable 'Insulation installation Ouidel4»s' pubpshed by the Cky of Fort CoWns.
Certified by: Jim Young Phone: 970-224-1539
Business firm: Gale Insulation pate: 5/19
Address: 2016 E. Lincoln Ave.. UnitA Signature:
Instructions Fort Co111rtsr. Qp 50524
...
This disclosure forth It to be signed by the IrtsNakon contractor or representative of the gains" corttractor
Please type or print, except for fM signature.
If components vary, make mukiple entries to deseslbs them,
One copy Of this form "111 be provided to Ilse bwrUiaa-ersaw
Building and Zon4p Department at noel InspedJon.
One copy of We loan shale be provided b Ir1e ttortlebuyer. _
Fort Collins Residential Energy Code the buildinc & zoning dept. of
MECHANICAL DISCLOSURE FORM Community Plan ling and Environmental Services
281 N. Couege Ave. P.O. Box 580, Fort Collins, CO 80622
mchdisclxas-7110193 Voice: 970 221 678 i FAX: 970 224 6134
Job Address: 3 '�
General contractor: f C ►��C�c
I Al ^h�nrral rnnfraetor: � I' 1 G`rl "r V /5
A. 5 ace Heating systetYl;:
K.
B. Space cooling system
Input capacity
Location Fuel T e Manufacturer f lodel # kBtuh or kW SEER
C. Water heatingsystem
Location- I-
Fuel_
I- T-
I- Manufact:�rer
Input capacity
D' odel itkBtuh or kW
Energy I brorage
Far -to I volume
Certification.
UWe certify that the above -listed equipment (including ducts and piping) wa: installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed in accordance with manufacturers' instruction:
Person Certifying Job:
Date: '—/ �
Firm:
—'Address:l?j
Phone:
Fort Collins ResideniiaMnargy-Co" the bui[. -rq- & zD-'.lnq dept. of
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
YAM 261 N. College Ave., P.O. Box 680, Fort Collins, CO 80522
'Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: 970 2216750 FAX: 070 224 0134
Job address: 3903 Mesa Verde St.
General contractor. Richmond American Homes
Air sealing contractor. Gale Insulation
Instru c1HOnS :'::•..:•:::::••.::::::::::•::::::::::::::.:.:::.
.. ....................................................................._....
Complete either Part A or Part B .
Par.-A-ls-to-be-slgned by-the-alr seaQng contractor or representative of the general contractor.
Part B is to be signed by the blower door testing contractor or representative of the general contractor.
The "Blower Door Test Report" or equivalent documentation must be attached.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them.
one copy of this form must be provided to the Building and Zoning Department prior to C. O.
one copy of this form must be provided to the original home buyer.
A. Prescriptive path > Atr es ng hleakl:isi:�
IMe certify that the air sealing requirements speofied In the current City of Fort CoMns Residential Energy Code
nave been completed In this building, In accordance with the "Air Sealing Checkiisr published by the City of Fort ColMs.
Person Certify)
---dionature:
Jim Young
Gale Insulation
Address: 2016 E. Lincoln Ave., Unit A
Fort Collins,00 80524 Phone: 970-224-1539
:...............:.............
B. Per•formanc.e: p t .C4tAi i ;;D ibatA ..t....:.........
I/Wa certify that this building has met the air leakage performance threshold specified In the o rrerd Fort Collins
Residential Energy Code, In accordance with the "Blower Door Test Procedures' published by the City of Fort Collins.
Testing contractor.
Date of test:
C F M 50: Alt flow through the blower door at 50 Pascals pressure difference (dm)
Volume: Volume of home (cu. ft.)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACH50 w (CFM50 x 80) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 sofi
Person Certifying Job:
Signature: Date:
—,9uslness Firm:
Address:
Phone:-