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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.