HomeMy WebLinkAbout6714 Rose Creek Way - Disclosures - 08/20/2004 (2)Fort Collins � estdential Energy he building dt zoning dept. f
AIR SEALIN DtSCL�OSURE F C+ommu ity Planning and Environmental Service
?A 28 t N. 1e0e Ave., P.C. 8ox 580, Fort corns, 80522
(Not applicable to E•STAR or ENERGY SCO Tilted homes) Voice: 9 2216780 970 224 6139
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Job address: 671V
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General contractor.
Air sealing contractor.
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Instrt�,�.........:•:.:.............................. ...........:
Complete either Part A or Part B .
Part Is to be signed by the air sealing contractor or r1presentative of the general contractor.
Part ll� is to be signed by the blower door testing contractor or representative of the. general contractor.
The "lower Door Test Report" or equivalent ,documentation must be attached.
Pleas0 type or print, except for the signature.
If components; ; vary, make multiple entries to describe t*hem.
One spy of this form must be provided to the Buiidingand Zoning Department prior to C. O.
One ropy of this form must be provided to the original home buyer.
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A% Peesc!rlo lVe Path:::�Air Seating Checklist):.: ::....:......•. �..:
IAAre certty that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code
have been coinpieted In this building, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Person pertifying Job:
Signatu! e: Date*
Business Firm:
Address:
Phone:
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I/We certify tha
this building has met the air leak.ege performance threshold specified in the current Fort Collins
Residential En
gy Code, in accordance with the ".Blower Door Test Procedures" published by the City of Fort Coffins.
Testing conti
actor. Sams nkr fir, ,n
Date of test:
_ 17- 6 y
CFM50:
I / 11 _Air flow through the blower door. at 50 Pascals pressure dtlfference (drn)
Volume:
13 7 3D Vol*ne of home (cu. ft.)
ACH50:
L 0 6 Air• anoe rote pIr hour of 50 Pascals pressure difference
AGF05n = (CFMto x 60) / V 110me
The 1pe#orrman threshold kt code compliance is ACH50
noir e#ooding 0 ac/h
Person Certif
Ong Job: o .4t '
Signature:
, te: L
Business Fi
Address:
none: q 76 - 511- 5