HomeMy WebLinkAbout1256 Sunflower Dr - Disclosures - 06/16/2003 (2)t=crt Collins Residen-LAaj Energy Code the building & zoning kept_ c T
SEALING D(SCLOSURE FORM Community Planning and Environmental Service
181 N. College Ave- P-0. Box 580. Fort Coffirz, Co 8054
(Not appambie to E-!,-TAR or ENERGY SCOPE rated homes) Voice: 970 Z2167760 FAY` 97,o=4si34
Job address: 1166 -4sualowc-r 0 � .
Air searing contractor- R-G. Insulation Co.
'T am p Eet�
Pail A is to be signed by the air searing contractor or tepreserttaftve of the genera) contractor_
Part 8 is to be signed by the blower door testing contractor or representative of the general contractor.
the "Blower Door Test Reporr or equivalent documentation must be attached.
Pleasetype or print except for the signature -
If components vary, make multiple eniries to describe them.
Onecopy of this form must be provided to the Bujilcling and Zoning Department prior to C. O.
One copy of this form must be provided to the original home buyer-
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Me cer* that the air sealing requirements specified in the cmTent City of Fort Coffm Residenfra! Energy Code
have been completed in &,�, bulldir-9, in accordance wiffi'the -Air Sealing CheckL< pubrmhed by the City of Fort Corns.
Pe. won Certifying Job:
Business Firm. R-G- insulation Co
address: 2505 E. 74th Ave-
n4-zy.=r rn 80"q Phone: (303) 287-9625
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n*,Ie ce.—afy that &,- bu&5ng has met the ak leakage performance threshold speciffed in the current Fort Coffins
Fes:dJential Energy Code, in accordance with the -Slower Door Test Procedures" pubrished by the City of Fort Co&is.
Testing contractor.
Dateof test
CFM50: Airflow through the blower door at 50 Pwcabls pressure c0erence (cfn-)
Volume. Volume of home (cuL ft)
ACH.50-
Person Certifying Job:
Air change rate per hour at 50 Pasci, pressure cEfference
ACH50 = (CFNI50 x 60) 1 Volume
The performance threshold for code compliance is ACH50
not exceeding 5-0 acih
Siarm-ture- Date:
Su--,ness Firm:
Phc ne: