HomeMy WebLinkAbout3502 Sunflower Way - Disclosures - 09/23/2003Energy Code
crt Coffir.s Resi 9-1 the building & Zoe .ling dep-t. r,T
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R SEALJ " NG DISCLOSURE FORM Community ..... 4Y Planning and Environmental service
(Not applicable to E- STAR or ENEPGY SCORE rated homes) '731 N. Coffege Ave-. P_O_ Box 580, Fort Co&_, CO 805z!
Voice: 970 2216760 FAX 91-0 224 6134
Job address: -3 6U V-Avitr �j
General contractor. R T '7]t n
Air sealing contractor. R-G. Insulation Co_
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I-n--tructio - ---- - T1:3 --- -- --------
Complete either Part A or Part B
Part A is to be signed by the air seating contractor or representative of the general contactor.
Part 6 is to be signed by the blower door testing contractor or representative of the general contractor.
T'he dower Door Test Report' or equivalent documentation must be attached-
Ple2--e type or print except for the signature -
If corri.ponents vary, make multiple entries to describe them -
One copy cf 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-
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A-'Rres6ripti-Ve pathjASeaHri
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, VNe cer-ffy tzt the air sealing requirement speciffeed in the CLUTent City of Fort Colfiris Residential Energy Code
--ve been comcleted in this buMsg, in ac rdance withthe 'Air Se-a-Iing Checkrz published by the Citf of Fort CoMns.
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Pc-r,:;cn Certifying Job: , 4 1 ]Todd Robertson
Sign=ture:
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Business Finn: P-G- 1! :z, n, I
address: 2505 E. 74th Ave -
Date:
Phone: t -z n 5
riance iDathJf31o'v'v'er-D .......
Peron , :.
0017 T . ........... 7.'
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J'.Ve --wry that thz bac5ng has met the air leakage performance threshold speciffed in the current Fort Cok—,
F--:-Cential :----ergi Code, in accordance with the 61ower Door Test Procedures' published by the City of For-, Coa-is.
Testng contractor
Date of test
CFIVI 5 0:
Volume
1 cl-�50-
t� 1.
Per -son CertfYing Job
Air low through the blower door at 50 P3sca!s Pre!--ure c5fference (cf-,n)
Volume of home (cu- fQ
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The Performance threshold for code compliance is ACH50
not exceeding 5.0 ach
Date:
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