HomeMy WebLinkAbout2921 Timberwood Dr - Miscellaneous - 01/07/2000rag
Job address: Country Ranch Apartments, #5
Mal energy co— d— e g
Iisclosure form
General contractor: Brisben Deve opmen `" / 1 7 PTG2)CC3C /L
Air sealing contractor: erma oncep
A. Prescriptive trafh
IM/e certify that the air sealing requirements specified in the current Cfiy or Fort Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist" published by the CRY of Fort Collins.
Certified by: Thermal Concepts phone; (970) 223-7090
Business firm: Thermal Concepts n January_ ,
mate:
Address: 6617 S. College Ave Signature: g ,;-
B. PerformahCe path
INVe certify that this building has met the air leakage performance threshold specified In the current
City of Fort Collins Residential Energy Code, In accordance with the "Blower Door Test Procedures," published
by the City of Fort Collins.
Testing contractor:
Date of test:
CFM50:
Volume: Alt now through the blower door at 50 Pascals pressure difference (cfm)
ACH50: Volume of home (cu. ft. )
Alr change rate per hour at 5o Pascals pressure difference
ACH50 = (CFMso x so) / Volume
The performance threshold for code compliance is ACH50
hot exceeding 5.0 ac/h
Certified by:
Business firm: phone
Date:
Address: Signature:
Instructlofls
Complete either Part A or Part 8.
Part A is to be signed by the Alt sealing contractor or rapresehtativa bt the general contractor.
Part B Is to be signed by the blower door testing CohtflCtor bF reprbeeHtattva bt the general contractor.
The "Blower Door Test Report" or gquivelaht documef btOfn Must be e11004 d.
Please type or print, except for the slghaturA.
If components vary, make multiple entries to dascribs tharn
One copy of this form shall be provided tb the buhdlnd And tdhing bepatttiriaht At Anal Inspection.
One copy of this form shah be provided to the homebtlyar.
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