HomeMy WebLinkAbout4924 Smallwood Ct - Miscellaneous - 06/21/1998Fort Collins residential energy code 7/96
Air sealing disclosure form
Job address:
General contractor.
Air sealing contractor.
APrescriptive............. ......... ............. ...................................... ......-.1.......... . ............
.. .
... . . . .
........ ..............................
[Me 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:zm, !(W�
I
Business firrn:-'57��AW WbWdd.
Address: Abiel?6 Low-15*1,b, L',b_
Phone: &,117- F41ff
Date: 7-41- IF
Signature: &4/-6
...... . ... .
.:..: - :� ... :1 ... :- I ....... : I .. ........ . . .... .
B.- Performance path .... ... ..... .. ..... ...... -- ..... .
...... .......
....... ... .
...... ....... ..... . . : ........ .. . .
IMe 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:
CFM50:
Volume:
ACH50:
Certified by:
Business firm:
Address:
instructions
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 ac/h
Phone:
Date:
Signature:
....... ..... .. ...... ........... ..... ...... .......... ......... . .... .. ...... ..
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.
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r Fort Collins residential energy code 7/96 I
I Mechanical systems disclosure form
Job address:
General contractor.
Mechanical contractor. G/JST641 Hy#e
Space heating .system.
Location
I_
Fuel
I_
T e
I_
Manufacturer
I
Model-#
Input capacity I
kBtuh or kW-
AFUE or
- HSPF
FA
¢/E /L
NTL /Z 1
1 Z5
D
Space cooling system
Location I
Fuel I
Tvne
Manufacturer
Model #
Input capacity
kBtuh or kW I
SEER
Water heating system
Location
I Fuel
I TYPe I
Manufacturer I
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
I volume
:Certification
IlWe certify that the above -listed equipment 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 Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. IlWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by: Oftj In SpOClwA Phone: 6,67
Business firm:.-�2 'f//w& ,ryL Date: .Z/14
Address: AOZyZS Signature:
LOlE�ii9r�d ...GO....._........
Instructions > ........
.....
::.
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature.
If there are multiple systems serving any function, 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 6e providedlo-the-nomebuyer. mdxhc.W=7-&7+/W
Collins residential energy code 7196
Job address: #*-el "-
General contractor: Stonybrook Homes, Inc
Insulation contractor: Tncul at; ng f n
.. ....
Insulation ... >..
Location
.........................
Materials
: ..... ..... .
Thickness
Rated
R-value
.
:...:.................:::......::.::::::.:.......:.::.:...:.............::::::::
Location
Int / ext Notes
Flat or vaulted ceilings
with attics above
fiber las blanket
12"
R- 8
Rockwool Blown -in
11"-12'
R- 8
Ceilings with enclosed
rafter cavities
fiberalgs blqnkpt
10,,
_
Frame walls and rim/band
joists — to exterior
fiber las Blank
1 "
R-
Frame walls andrim/band
Joists — to attic, garage
fiber las blanket
-"
R-19
Frame floor - cantilever
Frame floor - over garage or
crawl space
f '
? 11
_
Slab -on -grade (0-12")
Crawl space walls
fiberglas Blanket
z"
R-19
Basement walls
vinyl faced
1"
R- 1
fiber las blanket
Certification
.......... ..::::
INVe 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: Bryan Spoelma Phone: 667-8018
Business firm: Stonybr.nnk Hom .G Tnr Date: B
Address:PO Rnx 24.2K Loyelanr3 (`Q Signature:
Instructions „,.
. . :.
This disclosure tone is to be signed by the insulation contractor o.r repre sen.tative of the general contractor.
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.