HomeMy WebLinkAbout3220 Yellowstone Cir - Miscellaneous - 07/14/1998Fort Collins residential energy code
Insulation disclosure form
Job address: 3220 YELLOWSTONE CIRCLE
General contractor: RICIZIOND AMERICAN HOMES
Insulation contractor
Insulation
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
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
Basement walls
GALE INSULATION
11
Mgl• � g171�
Ngl• 1 glgi� 1 ' N91�
Th
3.5
Rated Location
t-value (Int / ext)
21
Certification
I/We certify that the above -listed insulation 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 that It was installed In accordance with
the applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: JIM YOUNG
Phone: 970-224-1539
Business firm: GALE INSULATION Date: 7 1 98
Address: 2016 E. LINC OLN AVE. ,UNIT A Signature:
Instructions FORT COLLINS, OD
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.
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. "•a••..•'aszs _ en.ne
One copy of this form shall be provided to the homebuyer.
Fort Collins residential energy code 7/96
Air sealinu disclosure form
Job address:
General contractor:
Air sealing contractor:
3220 YELLOWSTONE CIRCLE
GALE INSULATION
A. Prescriptive path `
', .
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.
Certified by:
Business firm:
JIM YOUNG
GALE INSULATION
Address: 2016 E. LINCOLN AVE.,UNIT
FORT OOLLINS, CO 80524
B. Performance path
Phone: 970-224-1539
Date: 7/14 98
ASignature: ,
UWe certify that this building has met the air leakage performance threshold specked 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:
CFM50:
Volume:
ACH50:
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 66) / 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 ,o .he -Building and Zoning -Department at " inspection.
One copy of this form shall be provided to the homebuyer.
*$dW..et/SSM - §n4M
Collins residential energy
disclosure form
Job address:
General contractor:
Mechanical contractor:
w
..: :.
Space. heating system;.; .:;.. :::`:'.' ........... .
Location
Fuel
Tvoe
Manufacturer
Model #
Input capacity
kBtuh or kW
AFUE or
HSPF
cy
--PI
! 61
Space;cooing system .. .
Location
Fuel
TvDe
Manufacturer
Model #
Input capacity
kBtuh or kW
I SEER
Water"heating system
Location
I Fuel I
Type
I Manufacturer I
Model #
Input capacity I
kBtuh or kW
Energy
I Factor
Storage
volume