HomeMy WebLinkAbout2756 Brush Creek Dr - Disclosures - 01/07/2002OCT-25-ie:.F
2001 THU 10:08 An FO BUILDING AND *ZONING AX NO. 9702246134 ` P. Ott
Fort Collins Residential Energy Code the building & zoning dept. of
,AIR SEALING DISCLOSURE FORM _ Community Planning and Environmental Service
.....:,",_Mw 261 N_ College Ave., P.O, liar £e0, Fart Ccdins, CO 00522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice, 970 221 6760 FAX 970 22a 61Ea
Job address: O—M-F o F/r1� U/ u Sh brae .
General contractor /ctmPS Lori tt1c1
Air sealing contractor:
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Complete either Part A or Part 5.
PartA is to be signed by the air sealing contractor or representative of the general cantracter.
Part 8 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 thti'forri must be provided to the origmal hotne buyer.
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I1We oiirtifythatthe air sealing requirements specified in the current City of For Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist" published by the City of Fort Colfins.
Person Certifying Job: % rrtili_ _�J}tinz2'�
Address:
Phone.
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VW* cerlify lhuMle bu8ding has met the air leakage performance threshold specified in the current For: Coffins
Residential Energy Code, in accordance with the "Blower Door Teat Procedures' published by the City of For Co(feta.
Testing contractor.
Date of test
CFM50t Air 9owthrough the blower door at 50 Pascals pressure difference (dm)
Volume: Volume *(home (cu, R)
ACH50:
I Certifying Job:
Air change rote per hour at 50 Pascals pressure dfferenee
ACH50 > (CFM50 r 60) f Vatume
The pedonnanee threshold rat code compliance is ACH50
not areeeding 5.0 sc/h
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