HomeMy WebLinkAbout2402 Parkfront Dr - Disclosures - 08/11/2004Fort Collins Resia-4ritial Energy Code
AIR SEALING DISCLOSURE FORM
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I (Nat applicable to E-STAt-, or ENERGY SCORE rated homes)
dress: Nf7i, lfgoA-4
L-contractor. �Ser,lC<n-ti �v.� cn jam„
g contractor:_ A(( ( FV3 ;
the building & zoning dept, oT
Community Planning and Environmental Service
281 N. College Ave., P.O. Scx 580, For,, Collins, CO 80;zZ,
Voice: g70 Z21 5760 F -r
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nstruct�
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o plete either Part A or
Par 6....... .......................:.:..:.....:...
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Pa- t A is to be signed by the air sealing contractor or representative of the general contrctor.
Part S is to be signed by the blower door testing contractor or represeg4ative cf the oeneral cone
i The "Slower Door Test Report" or equivalent documentation Must •L- contractor.
Please type or print, except for the signature. `t be "`=thee''
ji if components vary, make multiple entries to describe them.
.One. copy of this form must be provided to the Building and Zoning De ;artme -,t prior to C. O.
One copy of this form mustIr-t be provided to the original home buyer,
A P.rescriptiv:e;: ath Alr Seafln Checklls.t)
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9.......
'Me certify that the air sealing requirements specified in the current City of Fart Collir.s Residential Ere. cv e
have been completed in this b-Oldinc, in accordance with the "Air Sesiing C hec%iist" published Coeby the C;tv of Fort Collins.
Person Certifyino Job: ��,, SK;1 0c•:ri
ignature:
usiness Firm:
4ddress:
c-�
Date:
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er-formance ath Blower.:Door.Tes�)
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.We certify that this building has met the air leakage perormance threshold s
.esidential Energy Code, in accordance with the "Slower Door Test Procedures" published by the City o For-, Collins. ified in the current For-, Collins
'esting contractor:
late of test:
:FM5o:
ooume:
Chso:
lrson Certifying Job:
gnature:
tsiness Firm:
(dress:
Air tow throuch the bioyrer door at 5C rascals pressure di2erencz
Volume 01 home (cu. 1L4)
Air Change rate per hour at =0 =Zscais pressure ci ;erance
AC, 50 = (CFM50 x 60)1 Volume
The Performance threshold fcr code compliance is AC 5g
not exceeding 5.0 ac1h
n=f.-
Phone: