HomeMy WebLinkAbout725 W Bentley Pl - Miscellaneous - 12/30/1999F'Pl
F.02
energy
Job address:
General contractor:
Mechanical contractor: � [. rzyt
Space ,h`eating :system
Location
Fuel
type
Model M
Input capacity
k tuh or kW
AFUE or
HSP
nn
rJ�%SE'il7P�t •f
/Manufacturer
C" / C
/� I/'G
b Ly
0 477
Spade cooling system
Location_Fuel
Tvoe
Manufacturer
Model 0
Input capacity
k8tuh or kW
SEER
Water heating system
Location
Fuel
Type
Manufacturer
Model q
Input capacity
kBtuh or kW
Energy
Factor
Storage
volume
Certification
UWe 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. INJe 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: �, ue%/� Phone:
Business firm: /c Date: I ;.4s'-177
Address: /Le.� �. Signature: Q�
1nstrticlions
Thie 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 syetems sarvino any funefian, make muliple entries to describe them.
One copy of this form shall be provided to the 9uliding and Zoning 0epartment at final inspection.
One copy of this form shall be provided to the homebuyer. me,e+rwrban-aawa
f
job address:
General contractor:
Air sealing contractor:
A Prescriptive path
WJa certify that the air searing requirements specified In the current City of Fort Collins Residential Energy Code
have been eor Np ted in this building, in accctdance with the 'Air Sealing Checklist' pubinhed by the City of Fort Collins.
Certified by:1'Cl�. - / ,=/.e�� Phone: z/
Business firm: _ Data:
� s - '>
Address:------ Signature: g-i
/ r
S. Performance path
I/We certify that this building has met the all leakage performance threshold specified in the current
City of For` Caidns Residential Energy Code, in accordance wth ths'Btower Door Test Procedures,- publisro
by ;h.H City of For, C on m,
Testing contractor:
Rate of tvt:t•
CFM50:
Volume:
ACH50:
certified by:
Business f('rm
Address:
P.0/
Air flow through the blower door at 50 Pascals pressure difference (cfm)
vciume of home (cu. I )
Ar change rate per hour at 50 Pascals pressure difference
ACHSO='CFM50 x 00) / VClume
The performance threshold for code compliance is ACH50
not exceed;n,3 5,0 aJA
Phone:
Date:
Signature:
instructions
Complete atther Fan ,i rr Part B.
PartA m to be signed by the aif sealing contractor or representative of the -general contractor.
Part H is to be signed by the blower door testing contractor or representative of the generai contractor.
The! T(Owef Door Test Report' or equivalent documentation must be attached.
Please type or print, except (or the signature.
0 components vary, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final Inspecton.
One copy of INS form shall be provided to the homebuyer.
:wnAlxtn-mesa
h'is e•;ir7:
�t�
_ ,e
SF_F-74.-97
P.04
energy
.Job addrasa:
General contractor;
insulation contractor:
... .. .,a .]:: .. .....
lnsutatiori
fi
Lecatlon 1
Flat or Vaulted Collings
with al"Ice 0,01"e
Matelal s
f�f�v✓ lE'
}
Thickness I
I L
Rated
R-value
LocaVon
intIext Notes
Collings with endoted rafter cavities
cavities
Frame wails and rfmrbend'��--
jaisis - w extsocr
------
Frs...w waits and rimrbaf4--
joists - to aHlc, garage
--
Proms floor - cantilever
- ---- ----
Frame floor- over garag»or
.new; space
crawl space went
�._ �-,4�_,_,_�,
1
_
l
Basement wont
CettiFicaiion _
LWO ceffy Ural sue above -I sted insulation Vasa IhsWIed ;n the bulking at the above (actions In Conformance whh the
turTtpt rog0tments of :he Cdy of fort eomns residential Energy Code, and that d Vasa Insia%)ed o accordance with
Ue epDtKable'Insula(ion InaSallalion >ulddlncb" yuWtshed by Me CRr of Fort CcJlina.
Certified by:/(/G�d/ + �'.�/��,/rO�•---'- Phone:
Business firm:.`_ v Date:
Adllt(-5s Dlgnatute�✓✓''
lnstrucflons
Me dtsciosure tom is to be signed by the Insulation c o on(rr ep general
._
atlor orr fesM(adve of
!fK mNal Conhattof.
Piasse type or onnt. except f or m! signature.
if con,"honis vary, make mve;ple enlriea to describe (nom.
One copy or tnis form Mae be prodded (o the aundmg and Zoning Department at ffnm imiwttlon.
One capy 0 (ads form Man oe provided tome nometmyer,