HomeMy WebLinkAbout2921 Indigo Cir S - Disclosures/Other - 05/08/1998Air sealing contractor.
A.:Prescrlppvbpoath .. `
I Ve certify that the air sealing requirements specified In the current CRy of Fort Collins Residential Energy Code
have been completed in this buk%g, in accordance with the "Air Sealing Checkkr published by the City of Fort Collins.
Certified by � Phone: Y 3-2Yoz-
Businessfirm: LACYCkuGTtQgg
-
oNnn_''Date: 5-$-
Address: J(op I g Cp pa S . F. C. signature:
965 25
B. Performance path'
HWe certify that this building has met the air leakage performance threshold specified in the current
City of Fort Calm; 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 (cu. It.)
ACHSO: Air change rate per hour at So Pascals pressure difference
ACH50 = (CFM50 x 60) f Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 aefh
Certified by: Phone:
Business firm: Date -
Address: Signature:
Instructions
Complete either Pert A or Part B.
Part A is to be signed by the air sealing contractor or representative of the general contractor.
Part 8 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 We or print, except for the signsbrre.
If Components very, make multiple entries to describe them.
One copy of this form shell be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
Fort Collins residential energy code 7196
Insulation disclosure form
Jobaddress Zg?V /,4)DIAO L,,ie . Sci.
General contractor: /AGY Cn Jsfzuc7e J
Insulation contractor: aWrE/) A", fti,Jr1 lr dMc
Insulation
Local] an
Material a
Thickness
Rated
R-value
Location
Intl ext Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavitiesm
Fraevglla and rim/band
joists — to exterior
r
Framewalls and rimfband
joists —to attic, garage
/
Frame floor - cantilever
Frame floor - over garage or
cray4 #Mq
Slabs -grgda (0-12')
Crawl space walls
Basemtentwells
R'AIAvJ
err
— B
AL
Me earft that the above -Gated hnuWw was installed in the buitdbvg at the above locations in conformance with the
current requirements of the City of fort Collins Residential Energy Code, and that a was installed in accordance with
the applicable -insulation Installation Gukh*% s' pub)lshed by the City of Fort Collins.
Cartitledby; J.-,a 7, 1jAe_w'_ Phone: 2z.(e-5-1lo
Business firm: 0)4,rFp r3u,lbirJ7 , CeNrl!g - Date:
Address: L2r-i jde IFee «sat Signature:
...................
Inst►uctions
This disclosure form is to be signed by the Insulation contractor a representative of the general contactor:
Please type or print, except for the signature. '
if oompanerks vary, make mWtlple entdes to drxribe them.
One copy of this form shall be provided to the Building and Zoning Oepart"rd at line) inspection.
One copy of this form shad be provided to the homebuyer.
Fort Collins residential energy code 7/66
Mechanical systems disclosure form
Job address:
General contractor.
Mechanical contractor.
Space heating system "
space cools' n s stem .'
Water heating system
Location
Fuel
T
ufaetuMt
Model 4
ktputwpacfty
k tuh o! kW
Energy
Factor
8toraga
volume
N
3 2, 00 Q
c7A-
Certification
YWe car* that the above4sted epuiprnwdwas in"ed in the bulding at the above locations in conformance with the
cwmd requirements of ero City of fort Coft Residential Energy Code and Mechanical Code, and that R was tnateled in
saordaece waft manufackwer's instructions. I1We ew* that any ductwork has been Instated in conformance with
the current requkwwts of the City of Fort Coate Residential Energy Code and Meohantoal Code.
Certified by: T N LA Y Phone: N70) y Q3—Z'10 Z
Business Oren: LA K iDate.
Address WIS Co.PG5.F'G. Signature:
Bpi25
Instructbns
TMs dadosure form is to be signed by the mschaniW contractor or represant aWe of the general contraoW.
Please type or print eseapt for the signature.
tubers are multiple systems serving any function, make multiple entries to describe them.
One copy of this form shal be provided to the Binding and Zoning Departrerd at Mel inspection.
One copy of this form sham be provided to the homebuyer. Re�.otam-cow
3
f
energy
Job address:
General contractor.
Hlaehanical eont:aCor.
.r.--. .•.�.. yt.�JA._.y i.......y_' +M' -; it �-�t•Ry.C.i�. iiiV�Rlt-:.jpM��3 �S�bN-���
Spaca_coo(ing system;;=�:=�•:�� �:�.�;"'-.;.•.;��,�°'.,=.=.==•=�"=�-�3:�.-=gilb=�=-w r_
.. . . .....-..-.:ww �--+i" _•T.v _— r ti�-.�:_'cw:•-_....:•::-s2.�..L�:"`_.T—:-a,sr�-..x���v+...«.y.'.b.—....xay.�.� �_.,
Cartificatipg;
V,Ne ee(* thatthe above4sted equipmentwas tmtaled in the bung at me above tocadona in conformance wish the
current fegt;Ir&ments of the CRY of Fort Coma Residendd Energy Code and MechaMpf Code, and that t was insWted in
arzotdsnu with manttPacitrers Insstue:ene We Ow* thateny duc`aork has been Installed in conformsnes Vft
the curWt :agrdrema 0 of the C.y of FOn CC4rts RastWU Energy Code and Mechanical Code-
Certitled by:
Bva111832 circa:
Address:
Phone:
Date:
Tms esetosure form is m be atoned try the maehanied eonfueror Or feprestnm% of the ganww contfador.
Passes of print except for this svnawm
If char*. are mumpte systems serving stry kjwoon, make multiple starlet to 4escdhe them.
Cnd Copy *tuft form shag be PWACed to the ®trtding and Zoning Vtpaimnont at lnat inspeedon.
One copy of ft form shag to provided to the homebvyet.