HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003LLi1L1 t11 !_NVL 11VLi vim- ►.� • •• �• - -••- '�- -
Fart Collins Residential Energy Cade the building & zoning dept. 0
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
281 N. Cortege Ave., F.O. S=.=80, Fart Coins, CC flQ5Z-7
voice- 970 Z1 a� fiQ FAx: 970 =4 5134
(Nat applicable to E-STAR or ENE.RGY.SCCRS rated homes) d
q 70v 52 C) � Soae `79
General contractor: I( �O/lsifIV
Air saaiing cantrac'.or: /� I�r��l -1-ASJ to f O�
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Complete eiiher Fart A or Part 6 .
F nrtA is to be signed by the air saaiing contractor or representative of the general contractor.
Far: 8 is to be signed by the blower door testing contractor or representative of the ge:erai contractor.
i ne "cleaver Daar Test , Zepart, or equivalent dac�tnentation must be attached.
Please type or print,except for the signature.
If components vary, Ma quitipie� entries to describe them. _
Cne cony at'this for n m ust be provided to the Suilding and Zanina Cerartme rt prior to
Cne-.ccay_ cf this4 rM, must be provided to the original home buyer.
to
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INVe cs^"ry that the air sealing requirements sperm ned in the current City or F art Caircns -Residential
have been camplet_d in this building, in accordance with the "Air Sealing Chec ds: pubcis, -d by -h City ar i=ar: Ca{Gns
Ferson Certifying Jcc: /" rG
Signattlra• r Date" '2 rZ 03
F-us,ness Firm �QjI.-i! 37,1C,
Address ►o�� S C"�` a
Phone:
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:6_-Perrarp�ti� {:Blawes....... ___..)..:::::.,:::--:..:...:.:..:......_._................._....
manee:
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1/4Ve cer7iy that ?his building has met the air leakage performance threshold spot iced in use current Fact CaiGns
Residential F-nergy Cade, in accordance w:th the 'blower Door Test Procedures' pubilshed by the City of Fart Corns.
Testing contractor.
Date or test
Volume:
ACHED --
Person Certifying Job:
.Air law through the blower deer at eel
Volume of home (cu.!)
Air changs rats per hour at °0 Pasc3ls pressure drfferenca
AC•r,SQ = (CFSEQ x -Q) ! Volume
T'ne perfomrancs threslicld fcr code carripfiance is ACHED
net excae&g U actt
Signature:
Date:
Susiness Firm:
Phone: