HomeMy WebLinkAbout3602 Coneflower Dr - Disclosures - 02/11/2002 (2)RG INSULATION Fax:3032892456
Feb 11 2002 16:08 P.06
EIR
rt Co11ms Rssioentlai EnoNy Code
;Z"';G mISCLOSURE FORM
LI
LA h
(Not applicable to E-8TAR cr ENERGY SCORE rated homes)
the building & zoniN * & , c i
Community Planning and Envirznraental Ssnjir ii
291 N. Calege Ave., P.O. Fax 580, Fort Cclrira, CO 606,2:
Void 970 2216760 FAX 970 2?.4 6124 vJ�
Job. address: _
General contractor. i 61 0 vyt 4nj!? �'- r
ArSeaiing Contractor: rN,
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Complete either Part A or Part B .
Part A is to be signed by the aU aeaGng Contactor or representative of the general contractor.
Part B is to be signed by the blower door tasting contractor or representaafire of the general contractor.
The "Blower Door Tost Report" or eqdvaient doGURteMU96" must be attached.
Please type or print, except for the signature.
If components vans, m8ke mulitple antfies to describe them.
One copy of this form rnust. be provided to the Building and Zoning Oepartrnent Porto
One copy of this form must be provided to the original horns buyer.
ilWe eeRffyt tot me air scaling requirements gateffsd in the current My of Fort Cel4ns Residan0al EnerV Code
have been compieled in this buldntg, in at:eordance with the Wr Searing Cheeld{sf published by Ow City of Fort 00:5ns.
Person Cetiifying Job:
Add s• 2,�zzs•y .. _
Phone•
Ime, oerdfythatthis building has instIN air leakage performance thmshold specified In the current Fort Collins
Rasidendal Energy Cede, in.accordance with the'Blower Door Test Proegdures• published byPe City of Fart Cam.
Tesfrng contractor
Date of test
CFitit50;. Alrraw trauph the blower doer at 50 Fwcals pre zero diife'rsnze (em)
Volume: Volume of hems (cu. W
ACH50: Air change reta per hour at 50 rascals Freosurs djoroncs
ACH60 = (CFM50x 60) / Volume
Tile performence threshold for code compWca is ACH50
not exceeding 5.0 WA
Person, Cert+Tying Job:
Manatu c• Dots:
Business Firm:
Address:
phona.