HomeMy WebLinkAbout2727 Pleasant Valley Rd - Disclosures/Air Sealing - 07/29/1998rt Collins residential energy code 7,
r sealing disclosure
Job address: 2727 Pleasant Valley Road
General contractor: Shepardson Homes Ltd.
Air sealing contractor:
Thermal Concepts and Shepardson Homes Ltd.
A. Prescriptive path
I/We 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:
John
A Shepardson
Jr
Phone: 686-1288
Business firm:
Shepardson
Homes Ltd
Date: g
Address:
P.O.
Box 68
Windsor
COSignature: , G
B. Performancepath
INVe 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:
CFM5O:
Volume:
ACH5O:
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.
8$d1Sc wb1/5523 - 6a496
Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor.
Space heating system
Location
Fuel
v
Type
Manufacturer
Model #
Input capacity
kBtuh or kW
I AFUEor
HHSPF
Space cooling system
Location Fuel T e Manufacturer Model # Input capacity
kBtuh or kW SEER
Water heating system
Input capacity I Energy Storage
Location Fuel Toe I Manufacturer Model # k8tuh or kWI Factor I volume
Certification
I/We certify that the above -fisted 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. I/We 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 Miller Phone: 970-223-8873
Business firm: Northern Colorado Air, Inrflate:
Address: 1823 E. Harmony Rd. Signature:
Instructions
This disclosure form is to be signed by the mechanical dontractor 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.
mN6sewb155a—N14%
Fort Collins residential energy code 7/96
Insulation disclosure form
JIM) ACIciress: Z I Z / k'-Leasenr- vaiiey
General Contractor: SrApaXdWn fRXreS Ltd,
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
970-223-7090
Location
p MIA
NO"'
Material(s)
Thickness
Rated
Location
(Int/Ext)
< :A"
Notes
Flat or vaulted ceilings with
attics above
Blom Fibwglas
16
—R-value
38
157i;qS-760 sq.f
Ceilings with enclosed rafter
cavities
t_FC'bMtt_�'_
3 2"
Frame walls and rim/bond
joists -to exterior
FG bat ts y/poly
A"
13
Frame walls and rim/band
joists -to attic,garage
FU batts
&
Frame floor -cantilever
N/A
Frame floor -over garage or
crawl space
31D
Slab -on -grade (0-12")
WA
Crawl space walls
N/A
Basement walls
FG beis
�%n 1 faced M
W
t A"
114
11
furrinq
Foam sealant
FqmnYOPe�exter:LcV dens
Caul hm seplate��__
wjrid
and fr
1
+ M 21
'A a Mg,"'M
,
TV"tM
VWe certify that the above listed insulation in the building at the above locations in conformance with the current requirements of the City of Fort Collins
Residential Energy Code, and that it was installed in accordance with the applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: Thermal Concepts Insulation Phone: 970-223-7090
Business firm: Thermal Concepts Insulation Date:
Address: 6617 S. College Ave. Signature:
..... .....
lnsiiuctions''�, 4
zM
I � " "M
This disclosure for 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 shrill he provided to the Building and 7nii 1 nof,,11fillent of final inspe,14,,;
One copy of this form shnit be provided to the home buyer.
Pmt