HomeMy WebLinkAbout1121 Fenwick Dr - Disclosures - 01/21/2003 (3)Cofiirs R esicient I Enemy Code
, SEALING D[SGLOSURE FORM
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(Not applicable to E-STAR or ENERGY SCORE raced homes)
Job address: I �--
the budding & zorang dep-i-- oT
Community Planning and En,ironrnental Service
281 lit CnUege Ave_. P_0_ Box 580. Fort Colftrr, CO 8054
Voice_ M 221 6i 60 FAX, 97(7 44 6134
General contractor: RTMin
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Air sealing contractor: R_G_ Insulation Co
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Complete either Part A or Part B _
Part A is to be signed by the air sealing Contractor or representalive of the general contactor_
Part B is to be signed by the blower door testing corer or representative of the general contractor_
The -Blower Door Test Report' or equivalent documentation must be attached -
Please type or prim, except for the signature-
ff components vary, make multiple entries to describe therm
One. copy of this form roust be provided to the Building and Zoning Department prior to C- O_
One copy of this form roust be provided to the original horse buyer
_.. _::: : - ::: ..----:---- .. A �esc..... pa l (Qi Seaiing_Checklls _
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UWe certify tit the air seaffng regrirements spec5ed in the current City, of Fort Collars Residential Energy Code
Fave been completed in th-is buu'dr g, in accordance with"the e A Sig Ch pl shed by the City of Fort Gown_
Person Certifying Job:. Todd Robertson
Si
Date:
-v 3
Business Finn. P. _ G _ Insuia t-; nrr C.-
Address: 2505 E_ 74 th Ave _
Cenver_ C'n in77da Phone- (303) 287 9625
B__ ce ash. Blow - --
PerF.. --an .. p , erpoorTes�
Me certify that Tis buu'c>ng has met the air leakage performance threshold specified in the aarent Fort Cows
P,esidentiai Energy Code, in accorc�ar a with the "Slower Door Test Procedu5 pubfs-hed by the City of Fort Corns_
Testing contractor:
Date of test
CFMSG:
Volume:
ACH50:
Person Certifying Job:
Air low through the blower door at 50 P=c a-'-- pressure Terence (cfrn)
Volume of home (c - ft)
Air change mte per hour at 50 Pascis pressure diderence
ACH50 = (CFM50 x 60) ! Vohune
The perforce threshold for code compliance is ACHLO
not exceedrirg 5-0 actin
Signature- Date:
Business Firm:
Address:
Phcre-