HomeMy WebLinkAbout4514 Red Fox Rd - Disclosures - 12/14/1997Fort Collins residential energy code 7/96
Insulation disclosure form
Job address: 5 / /n' c ,j
General contractor: NC L +
Insulation contractor: (r r+ / � 1 1 V ;_.- ( V, _( f ,->
Insulation
Location I
Materials
Thickness
Rated
R-value
Location
lint! ext Notes
Flat or vaulted ceilings
with attics above
% Z f GC' !
Ceilings with enclosed
rafter cavities
A)
Frame walls and rim/band
joists -- to exterior
p;
3
boa ' `ri Tv X0
Frame walls and rim/band
joists -- to attic, garage
' ;' • ! - s ; /%?!�
CI'
a
Frame floor - cantilever
�y s
Y 1
Frame floor - over garage or
crawl space
5 b;= A
Slab -on -grade (0-12")
Crawl space walls
Basement walls
Certification'
Me certify that the above -listed insulation was installed in the building at the above locations in conformance with the
current requirements of the City of Fort Collins Residential Energy Code, and that it was installed in accordance with
the applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: Phone: 22
Business firm: %/cml p F s ,0, i ; 0,. Date:
Address: % d F� d Signature:
Instructions
This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them. Nsdzc. I1 S23-Gn4M
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
Fort Collins residential energy
Job address:
General contractor:
Air sealing contractor: r,,-' /} z_ D iv . C-i / , ; i ,—
A. Prescriptive path
IMe certify that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist' published by the City of Fort Collins.
)
Certified by: ItL�G
Business firm:
Address:
B. Performance path
Phone:
Date:
Signature:
UWe certify that this building has met the air leakage performance threshold specified in the current
City of 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:
CFM5O:
Volume:
ACH50:
Certified by:
Business firm:
Address:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume of home (cu. ft.)
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 aclh
Phone:
Date:
Signature:
Instructions
Complete either Part A or Part B.
Part A is to be signed by the air sealing 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 shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
as6scmbMS23 — M4/96
Fort Collins residential energy code 7/96 rt,
Mechanical systems disclosure form t
Job address:
General contractor:
i&ohanical contractor:
:},ace heating system
Location
Fuel
T e
Manufacturer
Mode( #
a
Inputcapaclty
katuh or kW
as_
AFUEor
NSPF
'space cooling system
Location
Fuel
T e Manufacturer
Model >Y
Input capacity
kBtuh or kW
SEER
tfIhAer, heating system
Location
Fuel
T e
Manufacturer
Model ft
Input capacity
I k8tuh or kW
Energy
Factor
Storage.
volume
C,'intification
VNe certify that the above -listed equipment was installed in the building at the above locations in conformance with the
r;wrent requiremunts of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in
eu:cordance with manufacturer's instrudom. VWe certify that any ductwork has been installed In confarmanca-with-
tho -mirrent requirements of the City of FuTtCuilinTResidentiai Energy Code and Mecnanital Code.
Certified by: Robert miller Phone: 970-223-8873
Suslnessfirm: Northern Colorado Air, Ind7ate: -
Address: 1823 E. lfartnony Rd. Signature:
Instructions _
"1"hln disclosure form Is to be signed by the mechanical dontractor or representative of the general contractor,
t='leistr type or print: except for the signature.
ii ti :.re aro mutiple systems serving any function, make multiple entries to describe them.
One.t copy of this form shalt be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.