HomeMy WebLinkAbout6915 Autumn Ridge Dr - Disclosures/Air Sealing - 08/22/2011Fort Collins Residential Energy Code Neighborhood & Building Services
AIR SEALING DI-SCLOSUR_E FORM 281 N. College Ave., P.O. sox 580, Fort Collins, CO 80522
antiiscz.ws-VIM Phone: 970 2216760 FAX: 970 224 6134
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: Unit 10) , 6915 Autumn Ridge Dr., Fort Collins, CO
General contractor: Drahota
Air sealing contractor: .
INSTRUCTIONS
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 Door 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#his form must be provided to the original home buyer.
A. Prescriptive path (Air Sealing Checklist)
I/We certify 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:
6. Perfdr- mance path (Blower.000r Test)
I/We certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test, Procedures" published by the City of -Fort Collins..
Testing contractor: Colorado. Professional Inspections
Date of test;
CFM50:9� Air flow through the blower door at 50 Pascals pressure difference (cfrn)
Volume: Volume of home (cu. ft.)
ACK50: Air change rate per hour at 50 Pascals pressure difference
ACH50 _ (CFM50-x 60) / Volume
The performance threshold for.code compliance is ACH50
not exceeding 5.0 ac/h
Person Certifying Job: Bruce Czech
Business Fir : Colorado Professional Inspections_
Address: 50 Weber Drive, Loveland, CO 80537
Phone: 970-430-1819
Fort Collins Residential Energy Code Neighborhood & Building Services
AIR SEALING DISCLOSURE FORM 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
OWLWjda-7/1OM Phone: 970 2216760 FAX: 970 224 6134
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: Unit 10aA, 6915 Autumn Ridge Dr., Fort Collins, CO
General contractor: Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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. Prescriptive path (Air Sealing Checklist)
INNe certify 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:
Signature: Date:
Business Firm:
Address:
Phone:
B. Performance path (Blower Door Test)
I/We certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
Testing contractor. Colorado Professional Inspections
Date of test 5? -z-
CFM50: Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: 0 % Volume of home (cu. ft.)
ACH50: e Zrz Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 acth
Person Certifyin b: Bruce Czech
Signature: Date:
Business rm: Colorado Professional Inspections
Address: 50 Weber Drive, Loveland, CO 80537
Phone: 970-430-1819
Fort Collins Residenfial Energy Code: Neighborhood & Building Services
AIR SEALING DISCLOSURE FORM 2s1 N. College Ave., P.O. Box 680, Fort Collins, CO 805V
ide -.,,; Phone`. 970 2216760 FAX: 970 224 6134
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: Unit 107 ,_ 6915 Autumn Ridge Dr., Fort Collins, CO
General contractor! Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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 ;Prescriptive path (Air Sealing Checklist)
UVNe certify that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code
have been completed in this buiiiding, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Person Certifying Job:
B °Performance path (Plower Door Test)
Me certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code; in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
Testing contractor: Colorado Professional Inspections
Date of test:—
C1FM50: � - _ _ _ Air flow through the blower door at 50 Pascals pressure difference (cfm)
volume: RQR t - Volume of home (cu. ft.)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance'is_ ACH50
not exceeding 5.0 acth
Person Certifyilog ;Tp6 Bruce Czech
Signature, Date:
Business Colorado Professional Ins ections
Address: 50 Weber Drive; Loveland, CO 80537
_ Phone 970-430-1819
Fort Collins Residential. Energy Code Neighborhood & Building Services
AIR SEALING DISCLOSURE FORM 281 N. College Ave., P.o. Box 580, Fort Collins, CO 80522
aird1w2.ws=7110R8 Phone: 970 2216760 FAX: 910 224 6134
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: Unit 10 6915 Autumn Ridge Dr., Fort Collins, CO
General contractor: Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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 Prescriptive path (Air;Seeling :Checklist)
Me certify 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:
B. Performance: path (Blower Door Test)
1/V11e certify that this building has met'the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
Testing contractor: Colorado Professional Inspections
Date of test: Q--6-
CFM50: 1 Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume; - Volume of home (cu. ft.)
ACHSO: _ _ - Air change rate per hour at 50 Pascals pressure different
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 arJh
Bruce Czech
Date: ,a6- ► -
Address: 50 Weber Drive, Loveland, CO 80537
Phone: 970-430-1819
Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
enWW-I s-7/1=8
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 2216760 FAX: 970 224 6134
Job address: Unit 10�6915 Autumn Ridge Dr., Fort Collins, CO
General contractor: Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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. Prescriptive path (Air Sealing Checklist)
I/We certify 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:
Signature: Date:
Business Finn:
Address:
Phone:
B. Performance path (Blower Door Test)
I/We certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
Testing contractor: Colorado Professional Inspections
Date of test: eq r Zfe " /
CFM50: Xj Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: Volume of home (cu. ft.)
ACH60: Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 acth
Person Certifying J . Bruce Czech
Signature: Date:
Business Fi : Colorado Professional Inspections
Address: 50 Weber Drive, Loveland, CO 80537
Phone: 970-430-1819
i
t
Fort Collins Residential Energy Code Neighbol ood & Building Services
AIR SEALING DISCLOSURE FORM _- _ 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
.aW1sc2.-ds_i/10= Phone: 970221 676 ,, FAX:9702246134
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: Unit 10,�, 0915 Autumn Ridge Dr., Fort Collins, CO \
General contractor: Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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 Prescriptive path (Air Sealin Checklist
9'
I/We certify 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:
S. Performance path (blower Door Test) -
IMIe certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort,Collins.
Testing contractor: Colorado Professional Inspections
Date of test:
CFM50: Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: INC
Volume of home (cu. ft)
ACH50: S Air change rate per hour at 50 Pascals pressure &ffereno
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 adh
Person Certifying
Brude Czech
Address: 50 Weber Drive, Loveland, CO 80537
Phone: 970-430-1819
Fort Collins Residential Energy Code Neighborhood & Building Services
AIR SEALING DISCLOSURE FORM 281 N. College Ave., P.O. sox 580, Fort. Collins, Co 80522
819L-a,a, _ MaW Phone: 970 2216760 FAX: 970 224 6134
(Not applicable to E-STAR or ENERGY SCORE rated -homes)
Job address: Unit 107, 6915 Autumn Ridge Dr., Fort Collins; CO
General contractor: Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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 ;Prescriptwe path ,(Air:Sealing Checklist) ; -
i/We certify that the airaealing 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:
6. Perform' ' an' ce path .(Blower Door Test)
Me certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
Testing contractor: Colorado Professional Inspections
Date of test: -pp -;(d " 4
CFM50: Air flow through the blower door at 50 Pascals pressure difference (cfm)
volume:Q Volume of home (cu. ft.)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume.
The performance threshold fo"r code compliance is ACH50
not exceeding 5.0 ac/h
Person Certifying Job:.ice Czech
Dater
Business Firm: Colorado_ Professional Inspections-
Address: 50 Weber Drive, Loveland, CO 80537
- -,Phone: 970-430-1819
Volume of home (cu. ft)
Air change rate per hour at 50 Pascals pressure: difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 acth
Fort Collins Residential Energy Code Neighborhood & Building Services
AIR SEALING -DISCLOSURE FORM 281 N: College Ave., P.O. Box 580, Fort Collins, CO 80522
e„m; AS-7110M Phone: 970 2216760 FAX: 970 224 6134
(Not applicable to It -STAR or ENERGY SCORE rated homes)
Job address:. Unit 1 , 6915 Autumn Ridge Dr., Fort Collins, CO
General contractor: Drahota
Air sealing contractor:
INSTRUCTIONS
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 Door 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. ;Prescriptive path (Air;Sealing Checklist)
I/We certify 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:
B. PerforMance atti 6lowec Door Test
P )
Me certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of'fort Collins.
Testing contractor: Colorado Professional -Inspections
Date of test:
CFM50: r Air flow through the blower door at 50 Pascals pressure difference (cf n)
volume;
ACH50:
Person Certifying
Bruce Czech
Address: 50 Weber Drive, Loveland, CO 80537
Phone: 970-430-1819