HomeMy WebLinkAbout915 Pear St - Miscellaneous - 12/31/1997Job address:
General contractor.
Mechanicaf contractor:
Space heating systerr
`T 4AFUEor
Space cooling system
Location Fuel Tvoa ManufacturerInput capacity
g h or kW S R
Water heating system
LocationRAt
Fue
TV
anufact rdbr
model
Input capacity
k8tuh or kW
Energy
Factor
storage
vo e
2-wo
0
Certification
VWe certify that the above -listed ei ulpment was Installed in the building at the above locations In conformance with the
current requirements of the City of rort Collins Residential Energy Code and Mechanical Code, and that it was installed in
accordance with manufacturer's in tructions. UWe certify that any ductwork has been installed in conformance with
the current requirements of the Cit 79-viem
ort Collins Residential Energy Code and Mechanical Code.
Certified by: � Phone: 2 4f -f
Business flan: Date: 3 ,
Address: , .0 _ yt $lgnaWM-
Instructions
This disclosure form is to be signer by the mechanical contractor or representative of the Worst contractor.
?lease type or print, except for the ignaturs.
If there are multiple systems servin! any function, make multiple entries to describe them.
One copy of this form shall be prop led to the Building and Zoning Department at final Inspection.
One copy of this form shall be prov led to the homebuyer.
"WMft'evwn-&%"
Fort Collin
Ins
Job address:
General contractor:7
Insulation contractor:
energy
. .. ............
............
LOation
materms)
Thickness
a I ... .- ...........
. . I ... . ...hoc
Rated
R.Value nt Notme.
Flat or vaulted callings
with auks show
FA, TV7
.3
Callings with enclosed
fafter cavities
Frame wags and ringband
Joists — to wdwkw
Frame walls and rim4wM
Joists — to attic, garage
Frame floor - cantilower
Frame floor - over garage or
crawl space
Slalbon.grade (0-12-)
Crawl space walls
Basement wags
VW* ce;W 0* the abo"ad Insist A Was Installed In IM building at tla above locams In WIDMWM with . h He
...
current ro**wnwft of the CRY of Fan Willne Residential Energy Code, and Umd it was installed in scowdsnoe with
the applicable "Insulation Installation Cie Isliner published by the City of Fort Co".
Certified by: elow-,01, Phone:
f Business firm: Date:
Address: Signature:
tnatty aone
This iWomm form Is to be signed by il s kw#Wlion contractor of repreganigOV& a,
Pig We or print WwApt for the slgrw im. general contractor.
It componerde vwy,-mam muriple or" to describe Uw",
One copy of this form SW be provided I ft Bullding and Zwft Deparbrownt at final Inspectim.
One CM Of this fbIM dell be provided t the homwbuyW.
residential energy code 7/96
Job address:
General contractor:
Air sealing -contractor-.
A. Prescriptive path
Me certify, that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code
ha4e been completed in this building, In accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Certifled by: r Phone: 41cfZ-1 S
Business firm: Date:
yr
Address: Po.Bo 9 6 lgnature:
U. Performance path
UV1/e certify that this budding has i ist the air leakage performance threshold specified in the current
City of Fort Collins Residential En !rgy Code, in accordance with the "Blower Door Test Procedures," published
by the City of Fort Collins,
Testing contractor:
Date of test:
CFM5O: _ Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: _ Volume of home (cu. ft.)
ACH50: _ 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 adh
Certified by: _
Business firm:
Phone:
Date:
Address: _ Signature:
Instructions
Complete either Part A or Part B.
Part A is to be signed by the air at sling contractor or representative of the general contractor.
Part B is to be signed by the blow it door testing contractor or representative of the general contractor.
The "Blow a Door Test Report' o equivalent documentation must be attached.
Please type or print, except for th, signature.
If components vary, make multiple entries to describe them.
One copy of this form shall be prc *Wd to the Budding and Zoning Department at final inspection.
One copy of this form shall be prc tided to the homebuyer.
0$4" W111923 _ vtuw