HomeMy WebLinkAbout6102 Claire Ct - Disclosures - 12/25/200312-29-203 11:19AM FROM CUSTOM ENVIRONMENTS 970 223 0633 P_7
Fort Collins Rcsidential Energy COMa oi;e W%411 g zoI-,ilrg deft. of
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
.06ee=.0_7na9e 281 N. College Ave,. P.O. Box 580, Fort Cogr&, C0 80522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice. 970 2216760 FAX 970 224 6134
Job address: H.H. West — Lot 1 — 6102 Claire Court
General contractor: Custom Environments, Inc.
Air sealing contractor. Pro Insulation
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Complete either Part A or Part B .
Part A is to be signed by the air sealing contractor or representative of the general contractor.
Part B is to be signed by the blower door testing contractor or representative of the general contractor.
The "Blower Ooor 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 this form must be provided to the original home buyer.
A +�Alr Seatlnd:Clecklist)"
IIV11 a oerti y that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Person Certifying Job: Charleg MAcal lef
nature:
Date: 1 2 / 2 5
Business Firm: Custom Environments Inc.
Address:
Phone:
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3. P�i-fo, a . .
IMle certify thrtt this h0ldin0 hAs rnaf the air leeks r nerformanee fteshold specified ir the ciQTPi+. Fort Colli M
Residential Energy Code, in accordance with the "Blower poor Test Procedume pubrwhed by the City of Fort Collins.
Testing contractor:
Date of test:
CFM50:
Volume-
„CH50:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Vo!r:^re of hcr^e ;c . it)
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) f Volume
The parformance thrast"old for code compliance is AC.450
cot exceeding 5.0 zclh
Person Certifying Job: Charles Micallef
Date: 12/25/03
Sssiness F;.=: Custom Environments, Inc.
Address: