HomeMy WebLinkAbout500 Ramah Dr - Miscellaneous - 01/01/2000Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
.:aWum-711W8
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: �O D /1 a*.* A Z,
General contractor.
Air sealing contractor:
the building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
D r, V'r
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 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 (Air Sealing Checklist)
I1We 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.
Person Certifying Job: , C, (01- / �p 4
Signature: Date:
Business Firm: La `, , ^4 zti
Address: �33.? UJ_ 1�r_L . 2dAl,
g0l-26 Phone: 2-2.6 -2 oj-j—
.B. Performance ;path (Blower Door Test)
I/We certify that this building has met the air leakage performance threshold specified in the current 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:
Person Certifying Job:
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
Signature: Date:
Business Firm:
Address:
Phone-
Fort Collins residential energy code 7/96
Insulation disclosure form
Job Address: 500 Ramah
General Contractor: C016ny Constrwtion
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
970-223-7090
�Insulafio,
Location
Material(s)
Thickness
Rated ,., Location
R-value (Int- Ext) Notes
Flat or vaulted ceilings with
attics above
Blown Flbex lAs
1611
38
:..
28 ba s-1400 sq, f-
Ceilings with enclosed rafter
cavities
Yraft_F
n
38
flat Ceilings
Frame walls and rim/band
joists -to exterior
KraftFG Batts
__ _.—
3�01
13
" E
Frame walls and rim/band
joists -to oftic,garoge
Kraft FG. batts
34"
33
FG battS
3Y1
13
Bmt. BSR
Frame floor -cantilever
NSA
Frame floor -over garage or
crawl space
_
Slab -on -grade (0-12")
N/A
Crawl space walls
Basement walls
FG batts
3 1
13
walls
-
Foam sealantA1--
Bs
Caulk base° laces
rf s �"` 7n �g dt
Cer� ication f;. „ ., . F =�z :
4x%&,r
.
I/ We certify that the above listed insulation in the building of the above locations in conformance with the current requirements of the City of Fort Collins
Fesidential Energy Code, and that it was installed in accordance with the applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: Thermal Concepts Insulation Phone: 970-223-7090
Business firm: Thermal Concepts Insulation Date:
Address: 6617 S. College Ave. Signature:
K,x
Instructionsb,
This disclosure for is to be signed by the insulation contractor or representative of the general contractor.
Plense type or print, except for the signature.
11 romponeids vary, make multiple entries to describe them.
ropy of !his Germ shnll be provided to the Building and Zoning Nportmenl at finnl inspertion,
ropy rd 0-is fr,rm shnll be provided 1, the home buyer.
Fort Collins resicentisi energy code 7196
Mechanical systims alselosure forth
Job address:
General contractor:
Mechanical cant:ac.or.
Input oapaafty j ARE or
�"Ord
Saca coolin s stem-.�:�,..;;:.-.:-:<-�^•::-_f:=-:::;-•�=_:_�:_:'_:�_::;;::�;::;•::=:-�::':::��;:;:�:_:==_:;:;-.,:;�-�...�.;:�:::::-•...:._..........f-.._..,:,....__._....::�—•:�_ :::�:��
Ulater, heat,n systam::;:= _.�.. -- _ ........
,--,,.._,-.....,fin.._.........__.-.-.:;�.:..»:.-.-
;Certification'°:_
f
IrNa certify thatthe above•4"sted equipment was Installed in the building at the abcve!oc40ns in conformance with the
current requirements of the City cf Fort CcUins Residential Energy Code and Machanlcal Code, and that it was installed in
accordance with manufacturers instMCo.Cns. VWe wel teat any duct vork has been installed in conformance with
the c rrert : egL;frements cf the C:-f of Fort CCI 3 Resideeal Energy Code and Mechanlcal Code.
Certified by: C.xt N_ "ca phone: `4C8-2-6:5-6
business firm: Ail Date: l r l9
Address: Signature:
This cCsdosure form Is to be signed by the machanical contractor ar representative of the general contractor.
P!:ase We or print, except for the signature.
If there are muttlple systems nerving any func,on, make multiple entries to descn'be them.
b One copy of this form shade provided to the Building and Zoning Depa.=ent at Snal inspeclon.
Cne copy cf this form shag be provided to the homebuyer.