HomeMy WebLinkAbout531 Flagler Rd - Disclosures/Other - 12/03/1999Fort Collins residential energy code 7j9r—,
Job address:
General contractor
Insulation contractor:
. ......... . .... . ...... ... ...... .. ..... . Insulatfon
,:. , .� ::.:::' ... I ....... 11 .............. . ... ... ......................... .
... ... ... .......... .. . .
Location
Materials )
Thickness
Rated
R-value
Location
Notes
Flat or vaulted ceilings
with attics abovp
7—V:3 * �--z
Ceilings with enclosed
rifler cavities
Frame walls and rlmfband
joists —to exterior
7
Frame walls and rimaiand
joists — to attic, garage
_0
Frame floor - cantilever—}--
Frame floor -over garage or
crawlspace
Slab-nn-gracle (0-12")
Crawl space walls
Basement walls
jut
�7
M6 r—
.... ....... . . ........ . ....... ....... . ...
Certlficatlon.. .................
.... ......
Me certify that the above -listed Insulation s Installed In the building at the above location% In conformance with the .......... ...... ......... — .
current requirements of the City of Fort Collins Residential Energy Code, and that N was Instilled In accordance with
the applicable *Insulaflon Installation Guidelines" published by the City of Fort Collins.
Certified by:
Business firm:
Address:
Phone:
Date:
Signature:
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.
One copy of this form shall be provided to the Building and Zoning Department at anal Inspection.
One copy of this form shall be provided to the homebuyer.
Job address:
General contractor:
Mechanical contractor:
Fort Collins residential energy cone 7196
Me
tents disclosure
J
f 'rtF_I.V i�.-• ��.)Pr��k3_i-t 1:._. _-.----- -
Location
I Fuel
Type
Manufxltnr_r
Model f!
Input capacity
kBtuh or kW
AFUEor
IiSPF
I`ll
Space cooling system
Wafer heafitg system
Location
Fuel Typc Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
volute
f5 nrFP_T rJ
JJ
I L r
Cerfificafton>;...
IAVe certify that the above -listed equipment was installed M 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. IIWC 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: %� . &"2•L(/ Phone: "f Z ,, ;,-03,
Business firm:114rr/6 :rAjj"_ Date: /
Address f� <</.. __n ny]/3Ll }3L7/D.Signafure: Ste%
,n rv�._. -
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 fnaf inspection.
One copy of this form shall be provided to the homebuyer. m m.e..e rssn_rn nn
energy
sure V
Job address:
General contractor:
Air sealing contractor: Ni jEjt :) -X7iJSUL-A3-1 Arai
Me certify that the air searing requirements specked in the current City of Fort Collins Residential Energy Code
have been completed in this building, In accordance with the "Air Searing Checklist" publshed by the City of Fort Collins.
Certified by: 2p nt,3 �'� �e > Lv
Business firm: Tt[:.
Address: IIr�.3i �;N�dlhil t & bon
Phone: I N-- J{c -O' ,'
Date: IW
Signature:'.
B. Performance.path:......:' `,:s;><`; ..................
Me 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:
"Yolume:
ACH50•
`:' • Certified by:
Business firm:
Address:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume of home (cu. It)
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compriance is ACH50
not exceeding 5.0 ac/h
Phone:
Date:
Signature:
)late eaner ran A or ran e.
its td be signed by the air searing contractor or representative of the general contractor.
3IS hie signed by the blower door testing contractor or representative of the general contractor.
91"i Door Test Report' or equivalent documentation must be allached.
ii'We'or print, except for the signature.
npoaents 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.
17oft (mol(ly crab) 719111,
Mechanical systems di7cAw-.lr1Iq! 1(mil
, joh address:
(',viimni (;ontrac.`[r�
MoOt.mitinI cnititratilm:
kpace hiri;Ifing system . .
It'j"It rol'.1,dly
A V; I . I- (it
Mmillf;vAllf"t ..'-.-___Mod,-1 11
E11111111 m IN/ I
W"(11,
llw-
ispalv CoOfin.q System
Input Capacity I
Y1111 1"(131fill of W SEER
Imliorkea.ltinq SV51.(,Ill
jt;�pilt :;q):v-iIy
Energy
Storl(if.
I Ilel I ypl,
Mam ifactu wr J_
factor
volume
Cortifit-cition 1
INVQ Cellify that the M)OVe 11sbilf "Implywnt we; ilo�1;111,!d in Fitn hail, ill(I ojj the :11folp! Iof';lIiooq ill j'I IfOf 11 llol-o VAI file
Current requirements of the City Of 1 0 It C "Ili I I •! I IQo ti;il I-, I. it (ly ( :nd,v mid tAf!0l;,nif,A ( lwl ,.If I, I that it w;� if vlt.Ith, I if,
accordance with IAN,! c,irlify Ihnt any Of wlvjollr hn, twon ill-'I'llifid in conforwill-, with
the cI ITT e ot requirements ofthe City of 17o It (ioli I I, I t (i-i (I F� I 1 71 mly rode v no, it A,ir I I., I I i,�A (""d
Certified by: j3A ko -M.,
Business firm: IN EomL %k "f. Date:
_
In%trt IctiOnS
This disclosure forly, is to be. nigon"t by IIIQ ow(linnicil c.nnimcInr (if 01010 (V'IWT,1I r""ITI)fJol
Please type or print, except for Ill"
if thete arc multiple systenir, !;v!jVjrjq any fllh,:lil)ll. fll;+4! ITIOU1110 eollif- In flfi^rlillq Illf'ol.
()iq copy of this forrit 511,111 he provided In filo 10 Ildillo wid 7ollillf, I ;it flll;)l 111,ai1jCjjvo
(,)nP. Copy of this for[" shall he provi,T!,l to the 11,11, whow!f