HomeMy WebLinkAbout403 Strasburg Dr - Miscellaneous - 01/01/2000Fort Collins residential energy code 7196
Insulation disclosure form
Tobaddress: LiO4 S71LASALaA I. r-r. COMI�3s CO gdr5,as
General contractor: Lknl;;7- --5A(,
Insulation contractor:
In.................................................... ......... ........ .......
.............................. I ................................ ..... I ........ ............. ........ . ................. ...... ... ......
....... ii ... ied Location
Location Materials thickness R-value Int I ext Notes
Flat or vaulted ceilings
with attics above Att"Vii.i-r— 9Z
Callings with enclosed
rafter cavities
Frame walls and rindband
Joists — to OXtOdOr
Frame walls AM tindband
joists — to aftic�,'Oamge to%w�•. Mpa4ilLi-L 1"'z
Tic
5t11t�onil ,taw
Crawl ipscowills
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kft�
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1#%
ant we Is
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........ ..... I ................... . . . . ..... . .. . . .. ............... -7 4i� A .. ..... ....................................... .............................
.... .......... ............
d Insulation was Installed In (tiff alova� 16*CWW In conformance with the
;Clty of Fortr Collins Residential VMA Wlwg. 116athlod In accordance with
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Phone:— 44cnz.
Builtiiss tIrrn: Date: /j)',
17,
gnature:
us signau oy in@ insuiation corars In gWWsI contractor.
Muffloelentrwe'to dosotjbd I bodu ,.ijs sn - UMM
Ire preluded (9 tho and coon,
prov dad to the honiibuor....
..... .. ...
Fort Co
energy code 7196
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S ace..coolingsystem.......:: ...:.:.. ...:.:.. ................................................................
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d e•gsted equipment was installed in the bulding at the above locations in conformance with the
pity Oort Collins Residential Energy Code and Mechanical Code, and that it was installed in
ies instructions. IMIe certifythat"any ductwork has been installed in conformance with
f110` fetti� �t(the City of Fort Collins Residential Energy Code and Mechanical.Code.
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Y. Phone: 3 1�/ -0 0
r Date:
se Signature•
F M 1...
..................................................
.....,.
..........................�...............................................................:::: ::.:• ....VAS ...........
.................................................................:...........................................
sf d by the m...e..chanical..contractor or representative of the general contractor.
e % gmature.
" ny function, make multiple entries to describe them.
d p di?id�a to the Building and toning Department at final Inspection.
bntl co' oiap I�SrotAc�id to the homebuyer.
a.nwtnsb-viu�e
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Fort MR; r1 resid MIA1 l energy code 7196
Air sealing disclosure form
Jobsddrass: LIOS s7msata& bRe F T as Co a
General contractor.
Air welting contractor. Runt n.UWk"&j
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7' 0 :• .::r.:.Y:::::: :•:::..:::::.::::::.::::..:. ...l....Y::iiiii:::: •. •::Y::::::...........• i'•xr ;y tt •},:'"'•:+.•r5i
.rfr rh.%..
,. -ham ......................................... r y..........r� r....r.................................Y:•::•:::•:::::•n:•:•::::::•::n:•::e•X::r.....y :::w w� .• it
IIVh�i'er*#*th$ *sftbg requirements specified In the current City of Fort Collins Residential Energy Code
htttttl bilwft; oq hpMW in thb building, In accordance with the "Air Sealing Checklist' published by the City of Fort Collins.
• Phone: -O
Cartifled by.,�r lei. K
a' ' Business flDate: /o Zz
Address:lfe�llA�.t R� ✓/1 Signature:
j,�C{TF'ryniS�,�. SCiaZA �
• Me, cbr* this tririrding has met the air leakage performance threshold specified in the current
* of Nit Rentlal Energy Code, in accordance with the "Slower Door Test Procedures," published
�� Via. ,: b�dts Citj►b � oAlns.
p oon ` y: otor.
+ Alr flow through the blower door at 50 Pascals pressure Memos (dm)
Volume of home cu. ft. r
( ) ,cam r
Air change rate per hour at 50 Pascals pressure difference,
ACH50 = (CFM50 x 60) / Volume ;
The performance threshold for code compliance is ACH50 3
e •, not exceeding 5.0 ac/h
ed:by Phone:
NO
9 t?rm: Date:
Address• Signature:
: 1
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{ Y N.
(W�:
':.Y :• tl .i'
ht 1'%fit.
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h•: ...h.t P........... '•a:" .:1. ..Y.14:�: ':{..... •�L{�{:�Att' •.
Part t3 a :�a �+ K, t: '
(lftr„w4aaeng contractor or representative of the general contractor.
o iter,door testing contractor or representative of general -contractor.
rC'`or gquivalent documentation must be attached �t
of a 1ignMuto.
pith entries to desotit7e them. f s
{provided to the Building and Zoning Department at final inspection
provided to the homebuyer.
p fit.
♦ 44
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Fort Collins residential energy code 7196 I
Mechanical systems disclosure form
Job address: qOS
General contractor: tl_X > :i t- _-
Mechanical contractor:
space heattng system. :. ,
S�iace cooliny system
Input capacity
kl3tuh or kW
Water heating system'
e
Input capacity I Energy I Storage
kBtuh or kW Factor volume
Certificatitatt _. .. .. .
.....
I/We certify that the above -listed equipment was installed in the building at the above locations in conformance with the
curt erit[equirements'i f the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was instalit d in
t1cC 819C9 With manufacturer's instructions. IMe certify that any ductwork has been installed in conformance with
the`Cithent teqi #iiiffients of the City of Fott Collins Residential Energy Code and Mechanical Code.
-��w-. Phone: i,+_
Certified by�,:Smw �`i ._ _
Business firm: �qE �•r Datc: /o ;
Address: ,ti� c+ S�tEz�en*1, }?i�t Signature: -��!%
Instructid L .... ......... .........
Ihis disclosure 6fmJIS to be signed by the mechanical contractor or representative of the general contractor.
Qleaa& iype;,bt .�fY slt ept (of the signature.
If thate ate fnU[U I tems serving any funrlion, make multiple entries to describe them.
One copy of it, fOfrt shalt be (provided to the Building and Zoning Depattrnent at final inspection.
One copy o this fOttfl`shall We provided to the homebuyer, w+•e.e,asn-enose
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