HomeMy WebLinkAbout608 Stoneham Ct - Miscellaneous - 01/01/2000 (2)Fort Collins residential energy code V96
Mechanical systems disclosure form
Job address: S
General contractor: I`Z�rGa WVIE';. j-rat
Mechanical contractor:y�-
__ ......... ......_...... .._ . _
:Space h:eahng';$ystem
Location
Fuel
Ty )e
Manufacturer
Model #
Input capacity
kl3tuh or kW
AFUE or
HSPF
C'%�;>EM
•�f��
r)�i.ria 1t1
rt1'�M
—� 1 .--
---
�, .
Space cooling system
Water heating system
Location
Fuel
Type I
Manufacturer I
Model # I
Input capacity
kl3tuh or kW I
Energy
Factor I
storage
volume
Certification.
I/We 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. INVe 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:_23&d&zj
Business firm: MBA
Address:
Phone: ,r=cy,
Date: /j fj - 5
nature:
. v�*� r..
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 be provided to the hornebuyer.
,M nsc.wrrssn-Kn4M
Fort Collins residential energy code 719G
Insulation disclosure form
Job address:
General contractor:
insulation contractor: -L)k-/
Insulation
. ...............
Location
Materials
Thickness
Rated Location
R-value IntIext Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rlmfband
Joists —to exterior
V/
rrame walls and rimfband
Joists —to attic, garage
MrN
Frame floor - cantilever
Frame floor - over garage or
crawl space
J s JV 4 �L
slab -on -grade (0-12")
Crawl space walls
Basement walls
13
Certification,
c 'itir. . ..... . .. .....
I ti..onI ... ..... . .. :
e ca X...,,... ........ ......
..........
INVe certify that the above -listed Insulation was Installed In the building at the above locations in conformance . wit I h . 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: . &JW
Business firm:
Address:, 41/') ?1 _Zr ]A
I
Phone: t40)z_
Date:
Signature:
........ .....
Instr
uctions.::.: ....... .... . ....... .. ....
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.
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
Mechanical systems disclosure form
Job address: (up,
General contractor:f_t,�,g
^ciianicai contractor:_}i�L+_r__
..
S; ace heattng`
System ;.
..
Space cooling system ".
Water. heating system> `: .
Input capacity I Energy I Storage
4 e,-AL.
Certification ..:>
I/We 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. INVe 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: I? i/ �ZiPhone:
Business firm:�9p� ( !�.,/.ter, Date: LQ 11 2/
Address�/10� p 11 )3LLI�D,.Signature: �=-
.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 be provided to the hornebuyer. �ma.c. .bvssn-wmn
Fort Collins residential energy code 7196
Et Air sealing disclosure form
Job address:
General contractor:
Air sealing contractor: ptwi&LD
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 Checkfist7 published by the City of Fort Collins.
Certified by: i lRr.4 '�- 7_i_J Phone: L . _ J,-6
Business firm; L r Date: J' I?
Address:1 1p•31 v ei�lHiJ i /1 Signature: =
... ..:::. :.:..::..:•::::::.:: •::::::::•:::::::::.. •:.
,B' Performahce path::..... .
IANe 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:
14
flue onnor Part A or Part u.
Air flow through the blower door at 50 Pascals pressure difference (dm)
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:
kid .'be Signed by the air sealing contractor or representative of the general contractor.
l+lbe signed by the blower door testing contractor or representative of the general contractor.
BiOdor Test Reporf' or equivalent documentation must be attached.
of print, except for the signature.
nponsnts vary, make multiple entries to describe them.
copy of this form shall be provided to the Building and Zoning Department at final inspection.
copy of this form shall be provided to the homebuyer.
"''` .wse.wirssn—ersuse
Fort Col ill , wr:iflfrr►tial fliu- fty c(1(I(, 71MG
M�chanlc.al sy,lrms (li ;cic) :utr> f(»tn
.loh addres ;:
(;r+nntal cnntraclnt:
Apnh;+ni(;al c(intractnr:
` Dace heating system
?) KTe47�,a 0A
h)put c;.1laclty At 111= or
Location I ncl I yl�,- fA.unrf;n.tnrr 1 Mud.•I i! kElhrh or kVJ H �I'r
:)I)acf! cOoIiIIq System
Input cnp:)cify
Loc,ttlnrl I 1 old I I y1,o E,1.muf:u.Iiiwr Mod'.1 It I-Iclllnh of kV! L_ `)LER
(
i
� 4V 11er heating syst(!I)I
hlpnt r;;1p.1'-lfy f nergy Storage
1_o ttion _� Ilrcl
I y1c M;nrlrfmctnn r
i
Model It I•litnh �>r I:W _ 1 actor_ _v_olume
;ettific ition
ANQ ceilify that the above listed 11lilxm)nl vix; inl;Awl in the huildinq ;1I Ih" ahnvo Inralinm: in ,,nnfnnn.inrr, with 1hn
,:urrent requirements of the City of f of Collin•; Pw, idonlial Fnrr11Y Codo ;111,1 Me�aclnii.ml -ante, and that it vr)� in-.tallf )d in
rCcnnhnre with manufacturer's inslntctinn IMIe certify that any (tnr.lwollc has hoer) in ronfnunam o VA111
'he current requirements of the city of fort C'nllins Ro�i(lenlial t urrgy ("rndo awd PA,o, 1wili, :d G(Isto.
Certified by; 30;w _N. ((" f'hnne: •(..-r . 71 )C
Business firm: t)�,„�'[)ate:
(Address: ;c <:1Ee),crli Itwj � Sign.rtute: �_ %�l�
Vl•1r. .1 irl lr.lff: c ) Y�/,-•r \�j r _.._ ` __.. _
Instructions
This disclosure form is to he, signed by the nlochaninal rnnlrrc tnr or tepio,;onlalivo of tho tlon sal conlrachu.
f'Iease type or print, except for the si(Inallim.
If (here are multiple systems serving any fun Jinn, niaLo rnultiptn entiir to doer ribo 111cn1
Ch1e Copy of this form shall he provided to tho I tolling and 7oninq f)opartment ;it finml in•;l,erlion,
One. copy of this form -hall he ptovidod to tho hoiu, hNryr r.