HomeMy WebLinkAbout2215 Sweetwater Creek Dr - Miscellaneous - 01/01/2000Fort Collins residential energy code 7/96
Mechanical systems disclosure form
FES 12 RECD
Job address:
General contractor:
Mechanical contractor:
Space heating system
Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
ERASE=
GAS
F A37
D7
Space cooling system
Location
Fuel T e
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
GAS F/A
^
Water heating system.
r
d
Location
Fuel
Tvae
( Manufacturer
I Model #
Inputcapacity
I kBtuh or kW
f Energy
I Factor
Storage
I volume
Certification
INVe 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. INVe 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: ROBERT R MILLER Phone: (970) 223-8873
Business firrnNORTHE , COLORADO AIR, INC.Date: dt
Address:1823 E HARMONY RD 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 this form shall be provided to the homebuyer
menmscWISS-3 — Ga4r6
Fort Collins Residential Energy Code the building & zoning dept. of
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
4d,d$c2m-7nOft 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: 970 221 6760 FAX: 970 224 6134
Job address: aaj j Lw e
General contractor: 1-EA riijizn
Air sealing contractor: 'T41P-V- vu
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 must be provided to the Building and Zoning Department prior to C. O.
One copy of this form must be provided to the original home buyer.
..................................
A. Prescriptive path (Air Sealing; Checklist)
Me 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.
Person Certifying Job:
Si
Date:
Me certify that this building has met the air leakage performance threshold specified in the current 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:
Person Certifying Job:
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 compliance is ACH50
not exceeding 5.0 ac/h
Signature: Date:
Business Firm:
Address:
PhnnP-