HomeMy WebLinkAbout2764 Rock Creek Dr - Disclosures/Final Energy - 08/17/2005Fort Collins Building & Zoning Department
281 N. College Ave. P.O. Box 580; Fort Collins, CO 80522
Cilvof Perm C011TIN Phone: 970-221-6767, Fax: 970-224-6134
-7/)nlZ rnaT rni I INS RESIDENTIAL ENERGY CODE COMPLIANCE FORM
permit Number: low ek
4ddress: y cK G�Le" J,3.M
)dated 3-18-05
DIRECTIONS: Place a check next to Prescriptive, UA, or SPA indicating the path chosen. Next, circle the method
within that path you intend to follow. If choosing prescriptive or UA, the,applicant must also choose between an
PRESCRIPTIVE compliance for house with natural gas heating and wood framing, N1111.1
Insulation R-value
Standard HVAC equipment,
(80% AFUE)
High efficiency HVAC equipment
(90% AFUE
Method 1
2x6 Walls
Method 2
2x4 Walls
Method 3
2x6 Walls
Method 4
2x4 Walls
Exterior walls above grade (frame)
18
-
38
19
13/10
30
15
3
38
19
13/10
30
18
-
38
19
-
19
15
-
38
19
13110
1 19
Exterior insulated sheathing
Ceilin /attic
Crawls ace walls
Basement walls (frame/continous)
Floor over un-cond space
TOTAL UA ALTERNATIVE, (REScheck) SECTION N1111.5
- REScheck must show a passing score of 10% better than -code minimum: Submit calculations demonstrating
equivalency to one of the prescriptive methods above. The rating must be submitted at time of application and must
include Address of residence; Name of individual completing the rating form; Name & version of software tool. Air
[Sealing Checklist or Blower Door Test is required.
Circle one: Air Sealing Checklist Blower Dovr Test
SIMULATED PERFORMANCE ALTERNATIVE, SECTION N1113
Current accredited program . E-star of Colorado, Energy Smiths, Builtwright
HERS. accredited energy rating system. Lis compan ust submit score of 84 minimum. A preliminary
rating must be submitted at time of application and must include Address of residence; Name of individual
completing the ratingtcompliance form; Name & version of software tool. Final rating requires a blower door test.
31GN: 22 / DATE: g -
--ONTRACTOR: ST-j cln le Ayc,�fl'L PHONE: 30.3- 8 Y6 -90