HomeMy WebLinkAbout6908 BARBUDA DR - DISCLOSURES - 11/13/2001 (2)SENT BY: ALLIED INSULATION; 970 962 9W;
11CT-25-2001 THU 10:06 AM FO BUILDING AND ZONING
NOV-13-Oi 5:09PM; PAGE 12/12
FAX NO. 9702248134 P. 01
FoTt Collins Residential Energy Code
AIRSEALING DISCLOSURE FORM,
i7Tfloae
0tppllcable to E-STAR of ENERGY SCORE rated homes)
Job ddress-
Gen ral�contractor.
Air skaling contractor:
the building & zoning dept. of
Community Planning and Environmental Service
291 N , COIC94 Aft, P.Q. Box 580, Fort Collins, CO 90522
Voice, 970 23115760 FAX 970 224 6124
. .............
Com lete either Part A or Part 5
1:
Part is! to be signed by the air sealing contractor or representative of the general contractor.
Part ls!to be signed by the blower door testing contmct"arrepmeritative of the general contractor.
The lo: or Door Test Report" or equivalent documentation must be attached
.
d.
Plea a type or print, except for the signature.
0 ,
if co poneAts vary, make multiple entries to describe them.
One py of this form must be provided to the Building and Zoning Department priarto C.'O.
OnO PY Of this form must be provided to the original home buye'r.
.... ...... ........ , :; . mn:,�,:A ...... . . ... I ... I.... . : - -
................... ........ . .
C. r ea n
res
ec t
.. . . . . .................. .
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INVe :erti that the air sealing requirementsapecifled in the current City of Fort Collins Residential Energy Code
have )eep completed in this building, in accordance with the "Air Sealing C111401W pubrWhad by the City of Fort Coffins.
Pere n Certifying Job:
slqrltut�w. _�
Bus!
iesO Firm, 0411i
-
Add
102-S, _L-L-yrdsuik
Phone: 9(#Q- 9
f ...N. ......... . ... ........ ..
,,.o rm C e,, pg ... . .. .... .......
......
Me
larfiry thatltft building has met the -air leakage performance threshold spedfied m the current FOR Collins
Resid
knftl Energy Code, in accordance with the
"Blower Door Test Procedures" published by the City of Fort Calk".
Testing contmctor
oat
of test"
CF
a
Air tow through the blower door at So Pascals preasuro difference (dm)
Vol
9:
Volume of home W. ft)
AC
0: . ............................
At allange rate per howy at 50 Pascals pressure difference
ACH50a (CFMSO x 60) 1 Volume
The Performance threshold for code compliance is AcHso
not eimeecing 5.0 acm
Pe
n Certifying Job!
Elg
I
ture-
Date:
Sus
Bus
ess Firm:
Add
Phone: