HomeMy WebLinkAbout4326 GEMSTONE LN - DISCLOSURES - 10/29/1998May-07-98 07:55A Building and Zoning Dept. 970 224-6134^ P.03
energy code
Job address: 4326 Gemstone Ln Ft. Collins CO 805175
General contractor. Mark Twain Homes, Inc.
Air sealing contractor. Thermal Concepts
A. l'rescrlptiVe Path '>
Me 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 Checldrst" published by the City of Fort Collins.
Certified by: Al Kulenski Phone: 970-223-7555
Businessfirm: Mark Twain Homes, Inc. Date: / .z% 199k
Address: P.O. Box 270218 Ft. Collins Signature: eze
80527
B.Pe,rformance path
I/We dertify that this building has met the air leakage performance threshold specified in the current
City of Foil 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:
Air flow through the blower door at 50 Pascals pressure difference (dm)
Volume of home (cu. R)
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
Phone:
Business firm: Date:
Address: Signature:
Instructions
Complete eitherP art 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 to the Building and Zoning Department at final inspection.
One copy o1 this form shall be provided to the homebuyer.
"d.c."01RTt] - V14p
Fort Collins residential energy code 7/96
Insulation disclosure form
A Job Address: 4326 Ganstone
General Contractor: Mark '!Wain Homes
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
970-223-7090
11
Insu al ton$_
r
Location
�
Material(s)
Thickness
Rated
R-value
Location
(Int/Ext)
9
a
Notes
..--- ----
Clot or vaulted ceilings with
eltics above
Bloom Fl);l�r�]$S
a
c�=' 9 x. ,.
- •-
— ,
Ceilings with enclosed rafter
vrvities
Kraft FIG ba tS
2"
3_
-
t CE�IIIKTS
KL'aft--bG--L.i3t
a
4, '
��`"
x
- r
ath & slope cis.
irnme v+ollsand rim/band-_�-IQ-aft-IM-Batts-"`'-'-3
joists -to exterior
31
Frame walls and rim/band
joists -to attic,gamge'
Krdt't�C+-�7ft't
tt
` r -
KW VE
FG
lr
IQ
'F J '"' '
all t 1
F
Frame floor -cantilever
y` 5
Flame door -over garage or'
,i awl space
bat'(:S
611
19
k,
PO
Pmt.
Date /10/
Slabon-grade (0-12")
i`1/A
B
I
92A_QOde
-
Crawl spate walls -
N/A
--
n
Ilasemenl WOIIS
TY` �.L L.S.
LV IYLIJ
rr
__T
yin 1 faced FG blank
t 3 rr
11
f=iriq
-- --
Foam sealant
Foam rope exterior doors
and
Lridows.
oam mec
a1 penetrations.
—
;/We certify that the obove listed insulation in the building of the above locations in conformance with the current requirernents of the City of Fort Collins
Nesidential Energy Code, and that it was installed in accordance with the applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: Thermal Concepts Insulation Phone: 970-223-7090
Business firm: Thermal Concepts Insulation Date: _ -
Address: 6617 S. College Ave. Signature:
'I his disclosure for is to be signed by the insulation contractor or representative of the general contractor.
19ense type or print, except for the signature.
If components vary, make muftipfe entries to describe them.
()ne copy of this fni ui shall be provided to the Building and Zoning Department at final inspection.
On- copy of this In. ni shall be provided to the home buyer.
10/29/1998 09:44 9702299983 NCA PAGE 01
Fort Collins residential energy code 7/96
Mechanical systems disclosure form
Job addross:
General contractor.
Mechanical contractor.
Space ..9 hgsystem77
L2gqftn
MSEMERr
us[
GAS
F A
Manttfacturar
-
Modal #
\
Input capacity
kHluh ro ....
I
AHSPF r
d
Space cooling system
Location
Fuel
CAA
Twm
P/A
Ma is rer
Model #
Inputcapac
kBtuh or klty
W
SEER
GAS
F/A
Water heatin9ste'... s ym
In putcapaciry Energy Storage
Location Fuel T antHacturer Model* k8tuh or kW Factor volume
Certification
VWe c"llythatthe 8bova43ted eQuipmentwas installed in the building atthe above loeadons in conformance with the
current requirements of the City of Fort Collin Residential Energy Code and Mechanical Code, and that itwas installed in
accordance wffftt manufacturers instructions. UWe terrify that any ducMrork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by; Wad R MILLER Phone: (970) 223-8873
Business firm oDLpgAW AIR, spate:
Address;1823 E HAENWY RD Signature:
nstructlons
This disclosure form is to be signed by the mechanical contractor or representative of Iha general contractor
Please type or print, except for the signature.
If there are mu'bPle 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.
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