HomeMy WebLinkAbout3826 Glenarbor Ln - Disclosures - 12/17/2001 (4)DEC.20.2001 12:18PM
OCT-25-2001 THU 10:08 AM FC BUILDING AND ZONING
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FAX NO. 9702248134
P.2/2
P. 01
Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
(Not applieable to E-STAR or ENERGY SCORE rated homes)
the building & zoning dept. of
Community Planning and Environmental Service
291 N. College Ave., P.C. Bair W. Fart Cofine, CC 80522
Voice: 970 221 9750 FAX 970 224 613d
.lob address: -3-9;:6 A•
General contractor: 't , =&^ &�
Air sealing eontmator: Alla t artk _
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Complet* either Part A or Part 8 .
Pan A is to be signed by the air seating 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 Slower 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 must be provided to the Building and Zoning Department prior to C. o.
One copy of this form most he provided to the original home buyer.
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We cert(fythst;the air sealing requirements spedfiad in the curtent city of Fort Collins ResidenBai Energy Cede
have been completed In this buiid(ng, in accordance with the 'Ap searing ChecldlW pubWhed by the City of Fort Collin:.
Person Certifyin; le 1) Sm "i
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Met osrlify thatthts buldinq has met the air leakage performorm Ow"hold epedAed in trio "went Fart Caring
Residential Energy Code, in ecoerdanee wins the'6lower Door Tat Procedures' published by the City of Fort Calli s.
Tesling contractor:
pate of Uzi:
CFM30: All flew through the blower door at 50 Pascals pressure dlfrerersce (efrn)
Volume; Volume of home (cu. %)
ACH50: Air manq* rats per hour it 90 Pescsis pressure dilforence
ACK5a ■ (CFM50 Y 60)1 ValUMQ
The perfomtance threshold for code eompfienca is ACH50
not estceedln9 6.0 sclh
person cerwila Job.-
stgnsturia oats: -- .
Business MM:
Address:
—phone.
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