HomeMy WebLinkAbout1215 Truxtun Dr - Disclosures/Final Energy - 10/14/2002Oct 14 2002 11:40RM COLLINS CRSHWA
970G132004
IN UU I
P. 6
Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
(Not applicable to ESTAR or ENERGY SCORE rated homes)
the -building dt zoning dept. of
Community Planning and Environmental Service
"M N. Cohoft Ave.. P.O. Box 580, Fort Conirm, co 50522
Voice. 970 2216760 FAX: 970 224 6134
Job address: _rlb) Ylt-V jall-
General contractor US HOME
Air scaling contractor. COLLINS CASHWA Y
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la
Complete either Part A or Part B -S
Pail A Is to be signed by the air sealing contractor or representative of the general contractor.
Pa ' rt B Is to be signed by the blower door testing contractor or representative of the general contractor.
The *Slower Door Test Report! or eqt4ivalent documentation -must be attached.
Please type at 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 must be provided to the original home buyer,
SC
INVe certIfythatthe alreealing requirements spedfied in the current'Cl1yof Fad Collins, Residential Energy Code
have been completed in this bulding. in accordance vft the "Air Sealing Che~ published by the City of FortCoMns.
Person Certifying Job:
Signature: C
DAVID RAMIREZ
Business Firm: C 0 L Lj93--1rAS H WA Y:
/$;.'1- 0 7--
.Address:- 240 BARBERRY PLACE
LOVELANL CO 80537 Phone: (_q7j)) 669-6043
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W. 41.
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VWe certify that this building has met tho.eir leakage performance threshold spedfled In the current Fort Collins
Residential Energy Code. In accordance wkh the "Blower Door Too Procedures' published by the City of Fort Collins.
Testing contractor.
Date of test;
CFM50e.
Volume:
M flow through the blowier door at.60 Pascals PrOMM difference (dm)
Vdlume of home (cu. ft)
ACHSO: AW change rats pir how at 60 Pascals pressure difference
ACH50 a (CFM50 x 60) 1 Volume
The Peftmame threshold for ci>de complance Is ACKSO
not exceeding 5.0 ac)h
Person Certifying Job:
Si nature: Date:
Business Firm:
address:
Phone: