HomeMy WebLinkAbout903 Southridge Greens Blvd - Miscellaneous - 01/01/20001Fort Collins Residential Energy Code the building A zoning dept. of
MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services
nichdisc2ift —7/10198 281 N. College Ave.. P.O. Box 580, Fort catrins, co a0522
Voice: 9702216760 FAX: 9702246134
Job Address:
General contractor.
Mechanical contractor.
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I/We certify that the above -listed equipment (Including ducts and piping) was installed in the building at the above locations
in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that
such equipment was installed In accordance with manufacturers' Instructions.
Person Certifying
Business Firm.
Address:
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Phone: `7
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rorr Loomns resicennai energy code 7/96
Job address:
General. contractor_.
Air sealing contractor.
Me 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 Checlde published by the City of Fort Collins.
Certified by. I = I /
jW1. Date:
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INVe 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.
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: Volume of home (ari It)
ACH50: Air change rate per hour at 50 Pascals pressure diftence
ACH50 = (CFM50 x 60) I Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 ac 1h
Certified by: Phone:
Business firm: Date:
Address: Signature:
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Complete either PartA or Part B ":
PartA trio be signed by the air sealing contractor or represerrfative cf the general contractor.
Part B is to be signed by the glower door besting contractor or representative of the general contractor.
The•'Blowar Door Test Reporf.' or equivalent documentation must be attached
Please type or print; except for the *nal us. : ,
# components vary. make rmrllple errhimto desabethan.
One copy ottdsform sha! be provided to the 8uidrrgand Zoning Department at final inspection.
One wpir ofthiefomt shai beprovidedto the homeb tW..
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Phone: 7r) i2;z, —�117
Date:
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APudure:
Jul 07 99 03:37p PVR 970-493-2073 P.1
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Fort colllne residential energy cads 7
_ Mechanleal systems diseloeure fon
Job address:
General contra&tor.
,Mechanical eontraCor
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Space.cooling
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VNe cerCfy that the above --shed equipment waa instated in the budding at the above !ocgtlons in conformance with the
current raquirements of the Clty of Fort Codfns Rasidendai Energy Code and Mechanical Code, and that t was installed in
accordance wRh manufac;urera instrue",ons, We c4fe/!that any duc`r✓ork has been installed in conformance with
The e•.rrrent 'e4f.*9mentS Of the C.y of Fort C:IAns Residential Ensrgy Cc4e and Mschanlcal Code.
Certified by: C..tc Am,L�,r . �,_ Phone: ` c8—Zn:�
business firm: �_ call „ 5
Address: zSignature:
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This d aetaun form a to be signed by the mec,►,arts- Contractor or represenh;& of the general contractor.
P!aasa type or pdng except for this stgnaturs.
If there are multiple systems serving any func;an, make multiple entrles to d"cnbe !harm
Cna copy of rhte form shad be prcvldad to the Building and Zoning Oepar n'ont at lnal inspeclon.
Cne copy of this form shad be provided to the homebuyer.