HomeMy WebLinkAbout3914 Mesa Verde St - Miscellaneous - 12/30/1999s
Mar-07-00 12:16•�I P ALLIED INSULATION NORTH 970 962 9141 P-02
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Filw_S�UU
ins Rasitil2ntial tnorgy Code
.ON DISF:LOSURL"FORMtht, bui.- Inn 41l Zori,19 dept. of
:.: �,ao Community Planning and Lnvironmenlal Service,
26 f N. r-011ep�� Ara„ P.U. Uoa buU, Fo,l Collins. Co,u322
Vw"e: 970: 21 a760 PALE 97u 224 W34
Job addre 1 �9 i 9 f 1,�eS ` r
i — V z( c�t
Genoralr. lrecto,'
I
Illsulatton jntractor�:'
Th1s dlsdo oro form is to be sign d by the Insulation consraclor cr roplusertta6vo .,r the im r dracto, c
please fyp. ur i>rinl, e4cept fur the signature. Complete the Infvnn.dion In tha ag,_n� sal Provided.
If cOmPonc• :[s vary, mafnultlplc erltfles to desaibe them. ppropriate s, sal
One copy I thn. fora inuat be provided to the Building and Zonb,y Dopmtmcnt prior to thu C.O.
Ono copy I (1,,, form Mvat be W le available to the original home buyer.
r
Insuluti
Cxatio:l i Rated
=tee IttttttM°1 �- Tt rkness Rate
tins/ej Flat or vaunt I celllnas Plots
with a11iC! a: 'va
Ia�� R3x
Callings with It, P_ osad
ratter cantie
l
i
Fralna wain
nl : inJban4
-�
foists-to ei.
:11.,,.
F `
Frame Sall...
1rlrtYbq„(1
joist-,-fo of
,;,are9c
~
I.
�
_J
Fri`-
Frame floor
Frama QOer -oyc 9arap YI
crawl apace
Slaa.mgrade (0-t2� �
1-1
Crawl #Paco walla 1
e
'......... I .......+ t
aeowneni walls
a
- _-, ..
WV caruly UI la abovoJl�t�d Ineuledvn was Ihsblled In U4 building at UIa above lov1itlons In .. ... .
Fort Calling Kr .J,�nbal Eoorgy Cnda, enJ that h was alabdla0 in con.... ,with retreat r '`�
a"urdal,cc wiN the "Insuleflon equlferllanl5 of the
}} Guldul nes publu. d by Ilia CI of Fart CdG:13.
Perron Can :Ig Jo::: iy�/^' ZC � ry
Sl'I. nature:
BUJ�ne Si ( j l_ 1 —:. z_ . _. �:IfP. 7jO V
Address: i� '� r� Ito
— --�— _
D
Z0/Z0 39Vd
Collins
Job Address,
General contractor:
Mechanical contractor.1
This disclosure form is to
Please type or print, excE
if there are multiple syste
One copy of this form mi.
One copy of this form mt
5.PCjce cop
Energy Code
the buildinct. & zoning dept. of
LOSURE FORM community Plan ,ring and Environmental Service
mmw� 281 N. College Ava.: P.O, Sox sso, Fort Collins, CO 80522
Voice; 970 221 675FAX: 9702246134
. . .. ...... .... .
................. . . ... ....
. . ........... ...
. . . . ..... ......
. .. ..... ........ ... .. . ...
signed by the mechanical contractor or reprem ntative of the general contractor
i
Input capacity
Location
Fuel
Type
an facture
B or W
SEER
.0. .,water heat'
Location
Fuel
Tvae
Manufactarer
P'. ode[ 0
I Inputcapactty
kBtuh or kW
Energy
Factor I
storage
volume
. . . . . . . . . . . . . . . . . . . . . . . . . . . .....
...........
. . . . ..
C ditbn ... 11 . .. .... . ...... ......... .... .. ..... .......... ............ ... ... . ...
(NVe certify that ' at the above-Ilsied 'e'qulpme ' nt I ' n " c ' I " u ' d ' I ' ng ... d - u L ot ' a I a 'I n ' d p ' iping - wa ' 1 installed ' ' - ' ' - ... I ' n - the ' ' " building - ' ' - a ' t ' the ' ' above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code: and further, that
such equipment was lnst�lled In accordance with manufacturers' instruction:
Person Certifying Jobi
Date: 3-1-00
Phone: - 9%l9
Mar-07-00 '12:16'IP ALLIED INSULATION
NORTH 970 962 9141 1
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Job addre;s; —2)
General Wrilracrnr• Q
Air scaling Contrail
Rosldontial Enorpy Codo
Air Soallap Discidstiro Form
i
u`Ne c.a tlly m"I thew, acalk"J regairoi cents specified in it ie current [:ity ol, Porl Collins 11e51dent.. it Cnertly Cudr:
haYo been rAugacled Ia lNa building, In accOldancb wl the'Alr Scaling Checkllat'published by tlp, City ul i:url Cof;:,s.
Carllfied by: 4 I
--_.__Phone: q(,PD 501 _
Uusil.cs . firm: '� - •. t 1 '
0.�110-Tt Off__ Dalu:>p
,(We rerlily Thal ails baildlnYl i ,:, met I: • air IaakaUo performance Udc'.hold -pacified In the cu(r..nl
City nl'I=orfCollins ftcsldonla=G6arQY'.x1o.Inaccorda:.ruwlUtUto'Dlo,.•IDoor TuslPruwdu:os'
published by the Cily of 17ort Cvllh, ..
Tl
Dale of IW:
CFM:�C _ Air pow atroupb J,o blowor dour;q a0 F'asG,l-nc;
. prossurc diffo� ::C (cLn)
volumr: _ ,volumo�df home (cubic fool)
ACHSOt�
�Alrchango rate for hour al 50 l':,CPI-, ppossuro dlffarcnco
ACIISO=,(CRM150x0o)/voluma .•
The porfo
t M mui afro hot ! for a rompliancq I; ICI I50 nu t
nxceadlnp 5.0 ar/lj '
(y,�� tr 1 leg
InT.�trl�ri��(4�YIrYc91lE�IIDA4�nnv®. I ,.. .
Compbac •:.ithcr t:,::. •. pr I'+:al I :.
Park A is lu be ;Igoe., by Ill,> 01C. ,;alinp contractor or Icprosanlalivo of if,.: auneral COWOrtur.
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