HomeMy WebLinkAbout3926 Gardenwall Ct - Disclosures - 12/17/2001OCT-25-2001 THU 10:06 AM FC BUILDING AND ZONING FAX NO. 9702246134 P. 01
Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
(Not applicable to E-S7AR or ENERGY SCORE rated homes)
Job address: -3 Co- (0
General contractor. -Alm
Air sealing contractor: hlla
Nam
the building & zoning dept. of
Community Planning and Environmental Service
281 IN. Ccilegg Avg., P.C. hex S30, ;:Ort, Collins, CO 80522
Voice: 970 2216760 FAX 970 224 5124
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Complete either Fart A or Fart B.
Part A is to be signed by the air sealing contractor or representative of the general contray.0r,
Part 5 is to be signed by the blower door testing contractor or representative of the general contractor.
The "Blower Deer 7es, Report" or e-lJvalent documentation must attaciad.
Plesis a type or print, except for the signature.
If components vary, make multiple entries to describe them_
Onecopy of this form must be provided to the Building and Zoning Department prior to C. 0.
One c-,py of this form must be provided to the original home buyer,
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I/We certify that the air sealing requiremer.:s 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.
Person Certifying Jo
Sicinature:
Pusiness Firm:
Date:
Address: t-M S-Oeve(MA L-nvP1ejrvk,h) Cm9-jv7
Phone:( au c1zq-z-qoit
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Me certify that this building has met the air leakage performance threshold specified in the current Fort Collins
.Residential Energy Code, in accordance with the "Slower Door Test Procedures* published by the City of Fort Collins.
Testing contractor
Date Of t2St
CF,.M50- Air lowxhrough the blower door at 50 Pascals pressure difference (cfm)
Volume: Volume of home (cu. fQ
ACH50: Air criange rate per hour at 50 Pascals pressure difference
ACHSO 0 (CFM50 X 60) 1 Volume
The performance threshold for code cemp(iance is ACHEC
not exceeding 6.0 ac/h
Person Certifying Job:
-Sivature-- Date:
Business Firm:
Address:
Phone: