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HomeMy WebLinkAbout603 SEDGWICK CT - DISCLOSURES - 7/8/19993aa,�9tt� t"'� ' tt% " +x t 8 r' �r.i`II t til t ,cry. u ll �tY4 Jji4�kq���`$(� Y J i Fort Collins residential energy code 7196 ,:,• •Cv's iv"v u1't�dt.. J+p �,y,1 ` �.4.P4,x1 �'41''FJ>,�,��, Mechanical systems disclosure form ri�qyr tt-, t, :iT�a;>J6b address: �03 ,l.) c,k �R � 501S x General contractor: I`��;,�cw :I echanical`contractor: ' rvll;•, �t�� r H ...............:...... ::............... :a� e: ace::�ieatt 9.....y................................................... ................................ ................................. . ' Input capacity AFUE or Location Fuel Type Manufacturer Model # ketuh or kW HSPF i A SlrM 5f 's. , t w� \N t •a COO , ►� �! ' .,. .::... . ......... ..... .. .....N .. . . .. .. .. '.....: ': .. . . .. .. .. . . ...................... ................ Water h atln 9 Y e :: ........ ........... .... ....... ... .::....:....:.....:......:.. .....:.......: ..::.:::.::...:.:.......:....:.:.......::.............. . ............................. i h ' •' ` ;, Inputcapaclty Energy Storage ...';!.:;�.,+..Lc Location Fuel Type Manufacturer Model # kBtuh or kW Factor , volume .O. :................................... 4` 4UWi"cerUfy that.the above -listed equipment was installed in the building at the above locations in conformance with the ', 66d6nt requirements of the City of Fort Collins Residential Energy Code and Mechanical Code, and that it was installed in .:accordance with manufacturers instructions. I/We certify that any ductwork has been installed in conformance with£a r..ifie-•current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code. :,,,•.,y;�; `Certified by: Phone: LCX 21�(Q Business firm: Date: Address: gnature: t: rY h x t � a ` ... /�'�-y� e..G.br4/F�.l.............................................. ................................................................... .;•?.........................ruc.. ........... ...............:: • •:.:::. . LS.7A.I.. ��...............................................................................:•::::•.::::::::.........................................................:.......... t u. ..7 .. .... ......................................................................c7.a....................................................................................... a:t:a '0°This,disctosbre form is to be signed by the mechanical contractor or representative of the general contractor.; ��please type or print, except for the signature. V1 lfttiere are muttiple systems serving any function, make multiple entries to describe them. 0 oneycopy of this form shall be provided to the Building and Zoning Department at final inspection. } = 'iOne copy of this form shall be provided to the homebuyer. �,dd.o.We�rssn eauee � ,i. r4 �;, 4 . Fort Collins residential energy code 7/gt3 Insulation disclosure form Job address: Ca!CA_ wiel O CaLLW5 C General contractor: lvvt _0 ('�, f '__FV. Insulation contractor: In ulat'o'............ .............................. : ........................................................ ............... ... ... . . . ... .......... . .................................. I ............................ .... . ............................................ Location .... Material(s) ........ I .................................*...... Thickness Rated R-value .. . .. ................ ..................... Location Ont I ext Notes Flat or vaulted ceilings with attics above 'V%Vm<_ Am4vl U jP Ceilings with enclosed rafter cavities b t -A Frame walls and rim/band joists - to exterior �AIAS (AN" V ILI 1 _4171 Frame walls and rim/band joists - to attic, garage Mik-r-jilul- z Frame floor -cantilever Mu"'ViViLIT Frame floor - over garage or crawl space S� M(StjV1LL(_. Slab -on -grade (0-12") Crawl space walls Basement walls ...... .......... . ........ I .............................................................. ................. ............ ........................................ .... .......... ....•.......... .... : .......... ............ : ....... ............ ............................ ..... Certification . ...... ...... ................... * ...... . ..... ... * .......... ........................ [AAfe 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: l Phone: _64cf-h_ Business firm: Date:. 99 Address: i EL41Z Signature: ................................ ........................ ......................................... .......... .................. ........... I ...... ................... .......... nstftidtjdjj*!§':' ................... ............. .................. .................... ...... ...................... .............. I .............. *.* ............. ..... ... . ................................ disclosureThis ...''-torn is to be signed ,*b'*y' the Insulation contractor or representative of the general contrac' Ito" r .......... 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. Fort Collins residential energy code.719p, Air sealing dis*closure form 'Job address: ..�,;General contractor. Airsealing contractor. I/We certify that the air searing 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:Rl rtt's. Business I :� Address: I lo:31 ggempg, I/ i74jMSrN?,,8D- eCOZ-0 1-% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .;.. fjtji that this building has met the air leakage performance threshold specified In the current ott Collins Residential Energy Code, In accordance with the "Blower Door Test Procedures," published ,Ity Of Fort Collins. t V— Air flow through the blower door at 50 Pascals pressure diffe Volume of home (cu. ft.) Air change rate per hour at 50 Pascals pressure difference. ACH50 = (CFM50 x 60) 1 Volume The performance threshold for code compliance Is ACHPO not exceeding 5.0 ac/h to by: Phone: i firm: Date: cress: Signature: part El. ie air sealing contractor or representative of the contractor..: general ie blows i.door testing contractor or representative of the general contractor.,:,, poiC' or equivalent dociumentatioh must be attached. the t for tignatur'e. multiple entries to descdbe' them. '-,.,!�,�, I be provided to the Building and Zoning Department at final inspection. I be provided to the homebuyer. esdmubsin—shove 4 Fort Collins residential energy cede 7196 Mechanical systems disclosure form Job address: (o03 aEbG,t..�lc.kDR _ ��l_�1*�S._._..__g'd5a5 -- General contractor: �y t,pla 1 V 5—tt` B. r. Mechanical contractor: j�is,� _I <.!N ^,,►r_a�- ____._._____._ __ ;.... •::•::::.: h...a.. .. 9 .. Y ..... ...:.. uel ................................................................................... S ace coolln system*: 9 Y ocaaon 1 Fuel Input capacity AFUE or Model # I kl3tuh or kW I ISPF Jype Manufacturer I Model # Input capacity I kl3tuh or kW l SEER Wat r heattn s stem. :.:..........:.: :.:..•:::::.: 9 Y Location I Fuel I T Model # Input capacity I Energy I Storage S��nicn! i'" --r3 a nrrP Tam h o v�N'T-rt I rc=;mo I 'ell), oy) 7111- '1"oA A C- ........ ... ......... .. :Certificaiiorr.�•: Certified by: / Phone: (-� _(, _p?.'f� Business firm: Date: _ Address/-jpi3j//)Signature: ..................................5�..... :,;,'rr:..... . ...... ......::::: 1i?rir:iiiir?:>:;>.; _ __ _ 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 shall be provided to the Building and Zoning Department at final inspection. One copy of this form shall be provided to the homebuyer. , ti,,c,.e,rssn_WOO