HomeMy WebLinkAbout621 SEDGWICK DR - DISCLOSURES - 8/17/1999'k, f
Fort Collins residential energy code 7/96
Mechanical systems disclosure form . I
Job address: G2 aEm3aLk- 419- C-T-� C-(11,,Js Co �005)5
General contractor:----T1
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Mechanical contractor:
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...... ........... ......
...... .......................
.............. ... .... ....... . ............. ...... .......
. . ....... .. .. . .......... .. . ...... . ..... .............
...... . .......
p.Ac- h"' t . ...... . . ........................ .
.. . ..... .. ... ... . .....
I input capacity AFUE or
Location ManufacturerModel 4 L --kBtljll or kw IISPF
ZA
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... . ........ ...... I . ..... ... ... I ... --l..'.., ..........
... ........... ............ ...... .......... - ............... .. . ..................
..............
Space, cooling systeryv:: . . ..... ..
Location LFuel 1) C,
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Input
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.. ... .....
Waterhea. ... ting system:,:.
Input capacity Energy Storage
uel Tvr)e Manufacturer Model # I kBtuh or kW Factor volume
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�rtt ita
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INVe" certify that the above -listed equipment was installed in the building at the above location-, in conformance with the
current requirements of the City of Fort Collins Residential Filergy Code and Mechanical Code, and that it was inst.altbd in
accordance with manufacturer's instructions. IMe certify that any ductwork has heen installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by�.T ff Phone: 7'
Business firm: (VEt4)c,,j Date:
Address:iUS, �:jqo,L -e:
............... .. ................................................... .. .. ..... ........ ...............................
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�n s rU Cti b hthis 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 den'r.01,10 then.
One copy of this form shall be provided to the I.Atiildinq and Toning Department at final in!-, 'clion.
One copy of this foim shall be provided to the homehuyer.
7
Fort Collins residential energy: code 7/96
Air sealing disclosure form
Job address:
General contractor. T-- r,01-f Lk "Ny'r J-n W,'
Air sealing contractor. drJ
Vwe,ddr* that the air sealing requirements specified in the current City of Fort Corns Residential Energy Code
WO been completed in this building, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Certified by: Phone: -O
°. Business firmii f-1M �iL. Date: $ �? 49
_ Address: lln.�l ielA R! VI) Signature:
Scnzo
atti...................................................
........................:. •.:ah
ce .......
IIWe certify that this building has met the air leakage performance threshold specified 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.
�w t'restina contractor:
,test
aY` •, :' Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume of home (cu. ft.)
Alr change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
k
not exceeding 5.0 acm
t t
;Certifed by: Phone:
X •
firm: Date:'
Business
a. ress: Signature:.y
t
r Part B
the air sealing contractor or representative of the general contractor
the.blower door testing contractor or 'representative of the general contractor.
F,l
tepdrr equivalent documentation must be.attached,
4or,
ept for the signature.
Wi ultiple entries to describe them.
k;
fall be provided to the Building and Zoning Department at final inspection. <
r
lagti'e provided to the homebuyer.
n4te,�E1JSs2�-N24ID6
7t '! i
C"
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frarfi6 walls and rimiband
Joists — to exterior
Frame walls and rim/band
jois'li — to attic, garage
Feii;hei floor = cantilever
Fran" a r = over garage or
crawl space
Sii600n-grade (O-ir)
brawl kspa'ce"i W-a'fils,
!. Ba-serneniO�iils
Fort Collins residential energy code 7196
Insulation disclosure form
Cit."
:Ce
......'... ..
�rert . the e
rent requirements
with
theapplicb ............ ................ ..... .................................. ...........................
Certified by: Phone:
Business firm: Date:
—2
Address:; Signature:
4"
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.. ... ..... ......................................ucttons........ .. ...... ... ... .. ..... ....... ............... ................... ...........
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This dIscI6 itird form W to be. signed by the insulation contractor or representative of the general contractor.
r Please type or print, except for the signature.
61iloid entries to describe them.
One copy; of this form shall be provided to the building and Zoning Department at final Inspection.
One copy of tfiis form `shall be provided to the homebuyer.
Fort Collins residential energy code 7/96
9
Mechanical systems disclosure form
Job address:
General contractor:
Mechanical contractor:
......................................... ................
t ........... ................ ............................................. ..........................................................................................
6a ing-.s.Yt .......
�pal............................ ....................................................................... .
Location
Fuel
Type
Manufacturer.
Model #
Input capacity AFUE or
kBtuh or kW HSPF
.. ...... ....................
................. .......................... ............................................................................................................................
........... *"** ....... -* .............. ......... . .... ...... * . . .....
...............................................................
�p�qqe.cool ng:sy�# .. ............... .......... ... ......... ................. .......................... ..................................................... .....
...... I ............ I.... .... I ...
Fuel
Input capacity
Model # I kBtuh or kW
...................... ............ I ........ .................... .................................................. .......................................
.... .. ............
e
................. .... ........ I ........................... I ......... ............ ..................................................................................................................................................................
uel
Certified by:
BUsiness firm:tj&7xQQg jj6djme a
Address 863/
I #
Input capacity I Energy I Storage
........................... 1 .... :..: :...:
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ti ...............................
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.....•... .. ..... : ....................•....................................
ons,.*.*.,.,**,*".,.,.,,.,...,.,.*.,.,.,.,*.,.,* .......... ....................................
........ .. ...1!.1.,.,::..1.*.-.,.-., .... .................. .......................... ..............................................................................
sure
u're form Is to be signed by the mechanical contractor or representative of the general contractor.
e or. print, except p-i.ior the signature.
i multiple sysiems,ser\nng any function, make multiple entries to d ' escribe them.
of this jo"rrh shall be provided to the Building and Zoning Department at final inspection.
of this form shall be provided to the homebuyer.