HomeMy WebLinkAbout1809 SOMERVILLE DR - DISCLOSURES - 6/9/1998Jun-09-98 01:46P Buildinq andl Coninq Dept. 970 224-6134 P.01
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General contractor:
Air sealing contractor: U
A. Prescriptive path
I/We 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.
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Certified Phone:ZLC
Business 0 a t a ` .(1 --7 C,
Address:
B. Performance path
INVe 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.
Testing contractor:
Date of test:
CFM50: Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: Volume of home (cu. ft.)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACHSU = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 ac/h
Certified by: Phone:
Business firm: Date:
Address: 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 to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
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Fort Collins residential energy code 7196
insulation disclosure form
Job address: I �6 7 Soytc� 1i'C
General contractor: P
insulation contractor: )N , 0 23c.10 a CEN1_62,
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
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I Rated
i
ss
Location
Certification
UWe 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.
77
Certified by: lsf N ( 4AN-iE r-1 Phone: 2' i.
Business firm: U r�,5cr, 13,'n Ly:a c, t Eti t Date: j!�9
Address: ZT4V/ 4ARrwsyr Signature:
Instructions
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. hldls< OIiSS2J-ee<rss
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.
Jun-09-98 01:46P Building and Zoning Dept. 970 224-6134
P.02
Job address:
General contractor:
Mechanical contractor. — +�
Space heating system
r 1 j Input capacity AFUE or
C-,vv�0075=-A 7�;
0A1'rM >'V-VIC % I � i
mace coolina system
Water heating system _
Input capacity Energy Storage
Fuel T e Manufacturer Model # kBtuh or kW Factor o m—e
Location
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�L1t�NC �Z CCUti
-:)75- CkY,K-
��s cents;
Certification
I/We certify that the above -listed equipment 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 Mechanical Code, and that it was installed in
accordance with manufacturer's instructions. I/We certify that any ductwork has been installed in conformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Certified by K¢�tt� i471W'hone:Q�2 `OG %� -
Business
fir : wfznic� NtL�^nCcues�, Dater
�9 Signature:
Address:
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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 shall be provided to the Building and Zoning Department at final inspection. maaK.etrssn-mwe
One copy of this form shall be provided to the homebuyer.