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Home My WebLink About309 Strasburg Dr - Miscellaneous - 12/30/1999Fort Collins Residential Energy Code the building & zoning dept. of MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services mchdisc2.x1s—711CV98 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job Address: _ ygsl Do General contractor: / k orgy / (oi t _ t Z ;,te Mechanical contractor: /4t)&L7-LE }?Lj jmmr&0, 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 must be provided to the Building and Zoning Department prior to the C.O. One copy of this form must be made available to the original home buyer, A. Space heating system Location Fuel TvDe Manufacturer Model # Input capacity kBtuh or kW AFUE or I HSPF B. Space cooling system Location Fuel Tvpe Manufacturer Model Al Input capacity kBtuh or kW I SEER C. Water heating system Location Fuel TvDe Manufacturer Model If Input capacity kBtuh or kW Energy Factor Storage volume r S Certification.. I/We certify that the above -listed equipment (including ducts and piping) was installed in the building at the above locations in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that such equipment was installed in accordance with manufacturers' instructions. Person Certifying .. . Al Signature: Business Firm: Ira • �► E7 Fort Collins Residential Energy Code the building & zoning dept. of MECHANICAL DISCLOSURE FORM Community Planning and Environmental Services rnthd15c2AS-7I1as8 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job Address: 309/ R��r ipte General contractor: Mechanical contractor: A :Space.. eating system Location Fuel Tvne Manufacturer Model # Input capacity kBtuh or kW AFUE or HSPF f B; Space: cooling.systeln Location Fuel Tvue Manufacturer Model # Input capacity kBtuh or kW SEER C Water heatingsystem Location Fuel Tvne Manufacturer Model # Input capacity kBtuh or kW Energy Factor Storage volume Certification Ime certify that the above -listed equipment (including ducts and piping) was installed in the building at the above locations in conformance with the requirements of the Fort Collins Residential Energy Code and Mechanical Code; and further, that such equipment was installed in accordance with manufacturers' instructions. Person Certifying Job: 'Bleaki Signature: Business Firm: Address- zyc�-Z? ..a. ..:. i . __ • • r 2- ,X - CA .,i.1 • S Collins Residential Energy Code "ax -Mona (Not applicable to E-STAR or ENERGY SCORE rated homes) the building & zoning dept. of Community Planning and Environmental Service 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job address: :?-•r9 Sr�� General contractor: Air sealing contractor: 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); IIVVe 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: B; Performance.path.(BlowerpoorTest) 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: Al ja CFM50: 6LMAir flow through the blower door at 50 Pascals pressure difference (cfm) Volume: AJA 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 ac/h Person Certifying Job: fI%A Business Fort Collins Residential Energy Code the building & zoning dept. of INSULATION DISCLOSURE FORM Community Planning and Environmental Services msdi..Z0. - MOW 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 2216760 FAX: 970 224 6134 Job address: & 09 General contractor- Pamon I/ jqbm 6-5 azir, Insulation contractor: This disclosure form is to be signed by the insulation contractor or representative of the general contractorI I . 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, One copy of this form must be provided to the Building and Zoning Department prior to the C.O. One copy of this form must be made available to the original home buyer. Rated Location hickness R- I (Int I ext) Notes Flat or vaulted ceilings with attics above Ceilings with enclosed rafter cavities Frame walls and rimthand Joists - to exterior Frame walls and rim/band Joists - to attic, garage Frame floor - cantilever Frame floor- Over garage or crawl space Slab -on -grade (0-12") Crawl space walls Basementwalls Certification Y Y Me 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: RZAM Kai i Signature: Date: Business Firm:- wo"'es 27A le' W OWN