HomeMy WebLinkAbout513 Ramah Dr - Miscellaneous - 07/29/1998+OU-06-97 11:32 AM HARTFORD CORPS. 9702253726 P.01
ort Collins residential energy code 7/96
Job address:
General contractor:
Mechanical contractor:
Space heating system
Location
fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
t
Space cooling system
Location
Fuel
Tvpe
M nufacturer
Model #
Input capacity
kBtuh or kW
SEER
pp
0e
Water heating system
t
Location Fuel
Tv a
'
Manufacturer Model #
Input capacity
kBtuh or kW
( Energy
Factor
Storage
volume
I
I
Certification
%Ne certify ,hat t'ie above4sted equipment was i^stalled in the building at the abcY a lccations !n conformance with the
_ _,rent requirernerts -,'the City of Fort Collins Pesidentia! Energy Code and Mechanical Code, and ;hat it was installed it
accordance, wi h m_ -:.`acturer's instructions. UAle certif} thei any ductwork has beer. installed in conformance with
the current reglirerier+ts of the City of Fort Col!ins R sidental Energy Code and Mechanical Code
Certified by: �X, /jF V,/r Phcne: q7P
Business firm: a / /—/�riv�c�r �_ Date:029
Address:Signature;
Instructions
,This disclosure form is to be signed by the mechanical contractor or representative of the genera' contractor.
Please type or print, except for the signature.
if there are multiple systems serving any function, make multiple entries to des.hbe them.
One copy of this form shalt be provided to the Building and Zoning Department at final inspection.
?Cne copy of this form shalt be provided to the `omebuyer. �uaw.:w, ws:o-vlaa
i
ff
Fort Collins residential energy code 7196
1 Insulation disclosure form I
Job address:
General contractor:
Insulation contractor:
1..........
•
. __ %'�:. � ...... ....... .. ... - . . .. . .........................
nsulatloft . .. .. .... .. ..... .... ::: ... _ ...
........... ............... ...........
....... . ..... I ...... 4 ............. 1.4 ................ .... .... I ........ ...........
Location
Materlal s
.............
Thickness
.............. ..
Rated
R-value
.... . ..... .. ................... ...........
Location
Int I ext Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rimthand
Joists — to exterior
Frame walls and rim/band
Joists —to attic, garage
%
Frame floor - cantilever
Frame floor - over garage or
crawlspace
Slab -on -grade (0-12")
Crawl space walls
'rj q 1
f7-
Basementwalls
%
1,7
. . . I.. - ... I ... .... .... .. 11 .. .. . . ... .... 1. .. .... .. , � �' :. ..' '..: . . . . .. ...... ......
Certification:.i: ...... . .. . .. ..... ... :..
: ..... : ........... .....
.. ........ .. . ... ....... % .....
.......... .... ..
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: Phone:
Business firm: Date:
Address:ito3l Wj&wj 1\&f? Signature:
ns........ ........... ..... .
.. ..... ....... .... ..... . ......... . . ..... .... ....... ..
This disclosure form Is to be signed by the Insulation contractor or representative of the general ci
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.
Fort Collins residential energy code 7196
Air sealing disclosure form
Job address: S 13 Rat: ff
General contractor:
Air sealing contractor:
w
I/We 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: �F c Hftsz»oLE�
Business firm: MSLO o� fj&y�t;c r7we
Phone:
Date:
Address:llp•3I SMfr_40W 7&46. Signature:
WES. Ml4S-,EfZ, CO- eotzcs
B` :........
Performance ath::::::.::.......,.....::::•.
................_ .... .R.. _........... .
Me 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:
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:
uomprete ertner rart R or cart ts.
Part Aisto 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.
It 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.
..eu.%W /SS2s- &74M
Fort Collins residential energy code 7196
Mechanical systems disclosure form
Job address: 33
General contractor: Mi
Mechanical contractor: 4uurLEy FWrnim-U-,
Location
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
e coo s e :::::::.::..•...........: ;:';•.;:•.:::::.;:•::••:.;:;:.;:.;•::•::.:'•:':;;:..::........ ;............
P. ...........ling yst..m.. ::::.:::...:.
Location
Fuel
Tvpe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
.. _...
..................:::•: •::••.: •:::•:..:.•...........
Water heatlrig system ......... .; ...:•::::::::::
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
25* se.,nctxr
4'-LA
nrFa;'i
Sm%"A
G
40 GE
;Certification :;;;:•;:;•::::.:•>::::::• ::::::::::::::::
WVe 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. IM/e 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.
1
Certified by: i:_ Phone:s_44
Business firm: Date: 7 .
Address: (lDie StK6, ,ia&q . &iaJ6 Signature:
i !i
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 be provided to the homebuyer. maaw.wtrsm-enure
�L.