HomeMy WebLinkAbout2114 Friar Tuck Ct - Disclosures/Insulation - 05/21/2015Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
insdisc2.xls-7/10/98 Phone: 970 221 6760 FAX: 970 224 6134
Job address:
2114 Friar Tuck
General contractor:
Rose Contracting
Insulation contractor:
Sutherlands Insulation
INSTRUCTIONS
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. Complete the information in the appropriate spaces provided.
If components vary, make multiple entries to describe them.
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
One copy of this form must be provided to the Building and Zoning Department prior to the C.O.
r)ne rnnv of this fn" must be made available to the oricinal home buver.
Insulation
Location
Material(s)
Thickness
Rated R-
value
Location
Notes
11111
(Int / ext)
Flat or vaulted ceilings with
attics above
R38x24K
12 '/4
38
Edging
Insulsafe
14'/z
1381
IFlats
Ceilings with enclosed
rafter cavities
Frame walls and rimlband
R2lxl5K
5 1/2
21
Exterior walls
joists -- to exterior
R2lxl5U
5'/z
21
Rim joist/box sills
Frame walls and rimlband
joists -- to attic, garage
Frame floor- cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-12")
Crawl space walls
Certification
UWe certify that the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job:
Signature: Brian S. Krueger
Date: 6-21-2016
Business Finn: Sutherlands Insulation
Address: 2100 E. Prospect Rd Ft Collins Colorado
Phone:970-286-6806
Fort Collins Residential Energy Code AIR
SEALING DISCLOSURE FORM
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
a�m�..s-�r,aee Phone:970 221 6760 FAX:970 224 6134
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: 2114 Friar Tuck
General contractor: Rose Contracting
Air sealing contractor: Sutherlands Insulation
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 poor 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)
I/We certify that the air sealing requirements specified in the current City of Fort Coilins Residential Energy Code have
been completed in this building, in accordance with the"Air Sealing ChecklisY' published by the City of Fort Collins.
Person Certifying Job:
Signature: Brian S. Krueger Date: 5-21-2015
Business Firm: Sutherlands Insulation
Address: 2100 E. Prospect Rd Ft Collins Colorado
Phone: 970-286-5806
B. Performance path (Blower I)oor Test)
I/We 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 poor Test Procedures"published by the City of Fort Collins.
Testing contractor: Date of test:
CFM50: Air flow through the blower door at 50 Pascals pressure difference(cfm)
Volume: Volume of home(cu,ft.)
ACH50: 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 adh
Person Certifying Job:
Signature: Date:
Buslness Firm:
Add ress:
Phone: