HomeMy WebLinkAbout621 Stoneham Ct - Miscellaneous - 12/23/1999Fort Collins residential (mot(iy cr)(le 7196
Mechanical systems (it'closure font
.loft addles s: koZlvn('�}4i� Cat
x 1
(]ortot, l contractor:
Mor tanical contractor:
;pace Ileatintl Systrtll
Input cal"ar;Ify
AT I IF or
t.ncntion
t-nr•I
1 yl��r
Mitinr:u.Irnc1 r�lodel dr
kr)tnit or tcVr
It ,t`r
Space Cooling System
L I I I Inprlt capacity
(_ucauon Ilu•I I ype frl;nntF.u.hner fvlodol f7 Willh or W SEER
I I
I
wail(+r Iteatinq Sy`ar'tll
hlpnt r.ap;wily t nergy Storaq-
Location I t net I I ype I Manufachner I Model It I I"I or k4U , .-Facto- I volume
_ I
Cetflflcatlon
IANe ceilify that the above -listed rrinipnn'nt vcr: inv,tallyd in Ihrr huilding al lho ahovo Ioc;dion". in r.onfonnan"o with llie
current mquirements of the Cily of For( Collin : PI-J'lonliol frwioy Codo and Menlc+ni(_-it r olio, and that it v✓x-, inslal$d in
accordance with rnanufacturer's in ,tntr.tion IANr� certify lhsrt any rfnclvmilr has hoen in ;l'lllcd in confonnai e vJ111
the current requirements of the City of hod r. nllin : Pp�idenliA f i inrgy r;odo ail Hof hanir:d rode.
Certified by: - r� 1'Iton": /rr
Business fir m )v"✓ fly + } I )ate: �)
Address (i, ', t1F� c rStr, 1t`vl., iitlll,tttrrr: �� %:� �
Instructions
This disclosure form is to be signed by tho rnochanical cnntractor or rnpnr;ent;tlivn of Iho (p,r i,rol contractor.
Please type or print, except for the signature.
If there arc multiple systems serving any function, nudcc multiple mbar- To do^rtiho than
One copy of this form shall ho provided to the 1lriilding ail 7onin(l f)oparltormt ;it final insper lion_
one copy of this form shall be provided to the honlehuyer. �• •^r °>' <"r^^
r
t.
Job address:
General contractor:
Air sealing contractor:
Fort Collins residential energy code 7196
Air sealinta disclosure form
INVe certify that the air searing 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: �` , rLE=LL Phone: �„ _
Business firm; ��D� /�y fC—� �., Date: / r
Address: 111)3i 5ARMAM V'/) Signature:
::. ::.......:....................................................................................................................
B:.Performance ath':>';::;;::' ::.:::::::::::.:•:...:.:::::.
VWe 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 r, 60) ,' Volume -
The performance threshold for code compliance is ACH50
not exceeding 5.0 aclh
Phone:
Date:
Signature:
xete,swor Part A or ran ti.
( 'be signed by the air sealing contractor or representative of the general contractor.
a the signed by the blower door testing contractor or representative of the general contractor.
It DdonTest Report' or equivalent documentation must be attached.
of print, except for the signature.
49 ;iinte 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.
4141: ` .w.aw+rssa-cause
Fort Collins residential energy code 7196 I
Mechanical systems disclosure form
Job address:
General contractor:E_1,U7
Mechanical contractor: j- �/ Lt�:t _ 1.�'� h .!t_►� _ __
space heating system.
Input capacity I AFUE or
Manufacturer Model # kBtuh or kW HSPF
Space cooling system >:
Input capacity
Locauon ruel Type __ _Manufacturer__ _Model #__ kBtuh or kW I SEER
1 Jater heating'system ::
Certifit:ation...`>
INVe 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:-__ -
Business firm: 114OY�
Address llr)3/ --,�Jmty RLV)
Phone: 266-033R
Date:
gnature:
.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 Departmental: final Inspection.
One copy of this form shalt be provided to the homebuyer.
rt�cfvfu.w0 I ISS73 — SM/98
Fort Collins residential energy code 7I96
Insulation disclosure form
Job address:
General contractor: L:n
Insulation -contractor: !� • . i -, r
. ._. ... .. ...
Insulation
Location
Matetial s
-
Thickness
...
. .:: . -.
Rated Location
R-value Int I ext Notes
Flat or vaulted ceilings
with attics above
Collings with enclosed
railer cavities
G t 1
Frame walls and rim/band
Joists -to exterior
_ Qtyttt �r\1it�iytLF
—_;Z�I
Frame walls and rimlband
joists - to attic, garage
rtit�tJ _ t}pJ 1(l�
z
Frame floor - cantilever
Frame floor -over garage or
crawl spaceUko±jdl_�_-
c
Slab -on -grade (0-12")
Crawl space walls
Basementwalls
_—JUtth1� r v �ftt�i`jt
—
—-
�3
Certification, <. ;:. -- ,:; ;.
I/We 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: 4.z
Business firm: L_ Date: %
Address:_,, Signature
instructions f :;;
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. n.u.."e,rs:n-ers.nr
One copy of this form shall be provided to the Building and Zoning Department at Mal Inspection.
One copy of this farm shall be provided to the homebuyer.