HomeMy WebLinkAbout927 Pear St - Miscellaneous - 11/04/1997I Fort Collins residential energy code 7/96
Air sealing disclosure form
Job address:
General contractor:
Air sealing contractor:
A. Prescriptive path
IP.Ve 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: p- , OA-X� Phone:
Business firm: Date: /
Address: P j— Signature: i
13. Performance path
UWe 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 Report" 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.
aSCIUM VSS23-621H6
Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
Space heating system
Location
Fuel
Tvpe
Manufacturer
Model #
AiM y6 S
Input capacity
kBtuh or kW
AFUE or
HSPF
Space cooling system
LocaV9V
Fuel
T e
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
AZIL
Water heating system
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
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. UWe certify that any ductwork has been installed in conformance with
the current requirements of the City of Fortyiollins Residential Energy Code and Mechanical Code.
Certified by: G/ Phone: 1-/1_z{%
Business firm: Date:
Address a 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 thisform shall be provided to the homebuyer. n,aWw WISs23—s24,9s
Fort Collins residential energy
Job address:
General contractor:
Insulation contractor:
Insulation ... .._._
Location
Materials
Thickness
Rated
R-value
Location
Int / ext Notes
Flat or vaulted ceilings
with attics above -
Ceilings with enclosed
rafter cavities
Frame wails and rinuband
joists - to exterior
Z✓�
Frame walls and rim/band
joists — to attic, garage
Frame floor -cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-12'�
Crawl space walls
77
Basement walls