HomeMy WebLinkAbout614 Sedgwick Dr - Disclosures/Other - 09/29/1998I Fort Collins residential energy code 7/96
Air sealing disclosure form
Job address: 614 Sedgwick
General contractor: WestMark Homes Inc.
Air sealing contractor: Same
....
A. Prescriptive path .
IMe 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: Rick Myers Phone:
Business firm: Westmark Homes Date:
Address: PQ Box 271822, Ft. Collins": Signature:
229-9372
.
B Petfoll-mance path -
9/ 9/98
I/We 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:
. ..
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 Reporf' 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.
esdisc.wbMS27 — 6/24/96
art Collins realdentlal enerpy code 7196
Job address:
General contractor.
,Mechanical eont:aCor:
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I Fuel
I t Gas
I Tvoe I
Manufacturer
t Model $
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Input capacity i Energy I storage
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VNe certify that the above-ufsted equipment was instated in the building at the above Iocatlons in conformance with the
current requirements of the City of Fort CoMns Residential Energy Code and Mechanical Code, and that it -was instated in
accordance with manufacturer's instrucr'ons. tWe care/ that any ductwork has been instated in conformance At
the current regtdrements of the C.'y of Fort CzIIn3 Residedal Energy Cade and Mechanical Code.
Certified by: C.•_ At- " ` Phone: `E 43 - 2-0:5�
Business pate: /;Ljl t
Address:Signature:
FT- Ra52/ r -
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This disclosure form Is to be slgned by the mach.anical contraror or representat've of the general contractor
Please type or print; except for the signature.
If there are multiple systems serving any funclon, make mu.'dple entries to describe them.
One copy of this form %hall to provided to the Building and Zoning Department at Qnal inspeclon.
Cne copy of this form shag be provided to the homebuyer.
Fort Collins residential energy code 7/96
Insulation disclosure form
Job Address: 614 SedgewicY,
General Contractor: C & M Hcnjes
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
970-223-7090
Location
Flnt or vaulted ceilings with
,iltics above
Ceilings with enclosed rafter
, (tvilies
Frame walls and ripe/band
i,,ists-to exterior
1-mine walls and rim/band
je,isfs-to rittic,gorage
riarne- floor -cantilever
Material(
Kraft FG batts
Kraft FG batts
_1VA__
frame floor -over garage or N/A
t owl space
,lab -on -glade (0- 12")
------------ — -
(;ravel space walls N/A
11fisrment walls
FG batts
Thickness
161,
1211
I
3y.1
Foam exterior doors, wndaous
Foorn sealant f
11 1 Ifurring -
"st'rucil'o
s
I his dierlosi it P. for, is to be signed by the insulation contractor or representative of the general contractor.
Hroso lyp P or print', except for the signature.
t omponmits vnty, make multiple entries to describe them.
)nn rnpy of this form slinll be ptovidprl to the 111)i1dinq and 7(ming Dept-irlinent fit final ;ncpr?rfinn,
1w. i "py f this l"Ini-shall ho provirind to the lionle buyer.
baseplates
Job Address
Fort Collins residential energy code 7/96
Insulation disclosure form
3528 Silver Trails
General Contractor: Tri—Trend
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
970-223-7090
IlWe certify that the above listed insulation 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: Thermal Concepts Insulation
Business firm: Thermal Concepts Insulation
Phone: 970-223-7090
Date:
This disclosure for 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 home buyer.
Job address:
General contractor.
Mechanical contra&tor-
Fort Collins residential energy code 7.196
Mechanical systerns disclosure form
� A'-V W - 1 9-416 ":
Input capacity AFUE or
kEltuh or kW I 113PF
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Input c3pac.t/
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Input capacity I Energy I Storage
k2tuh or kW Factor volume
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.Cert1rjcit1Qn'-*----- -
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Me certify that the above.'smd 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: inMcl."on3. INVO certify that any du&.vcrk has been instated in conformance with
the current.-equire.ments of the CXy of Fort Collins Residential Energy Code and Machanlc3l Code.
Certified by:
Business flffn:
Address:
Phone:
Date:
Signature:
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This di3dosurs form Is to be signed by the mockhanleal contractor or representat've of the general contracow.
Ploase "a or print, except for the signature.
If there are multiple systems serving any functon, make multiple entries to d * escribe them.
shall t One copy of this form shall provided to the building and Zoning Department at final inspection.
One copy of this form shall be P(OVIded to th a homebuyef.
Fort Collins residential energy code 7/96
Mechanical system' !§ disclosure form
Job address: 3528 Silver Trails Drive
'General contractor: Tri-Trend, Inc.
Mechanical contractor:
Space heating system:>:
Location
Fuel
Type
Manufacturer
Model N
Input capacity
kl3tuh or kW
AFUE or
iISPF
NA
NA
NA
NA
NA
NA
NA
Space cooling system.: : .
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kl3tuh or kW
SEER
NA
NA
NA
NA
NA
NA
NA
Water heating system.
Location
Fuel
Type
Manufacturer
Model #
Input capacity
kl3tuh or kW
Energy
I Factor
Storage
volume
.Gas
A.O. Smith
FSG 50
40,000
.56
50 gal.
..... ..... ...................... ... .. .
.. .......
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. I/We 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: Phone: 970/224-5050
Business firm: Tri-Trend. Inc. Date: May 26, 1998
Address:P.O. Box 40.Timnath Signature: