HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003 (13)Fort Collins Residential
EnergyCade the building & zoning dept. of
DISCLOSURE FORM Community Planning artd Ernirortrnentai Service
SEALING Dt
AIR Z31 N. Calege Ave., P.C. Has E-aa, Fort Ca&s, CC WE
voic_a Z'�
: 971 ai 60
C FAX: 970 =4 5134
(Nat applicabie to ESTAFR or ENERGY.SCCFc_ rated homes)�) -
Job address:
1-(boa• 02s
CoAS+COC+
General contractor. -
Airsaaling contractor:
�1� T✓�SV�a���.
Complete eittrer fart A or Fart H contractor or representative of the general contractor.
F_rtA is to be signed by the air sasfing
Fart o is to be signed by the blower door testing cantractnr or representative of the gaze ai ccrtractnr.
The "Slower CeorTest Regart' ar equivalent doc-xrentatian must be attached.
Please type or print,. excspt for the signature.
if cornpanents vary, rnaica multiple• entries to desc."ibe them.
Cne cony of this fnrrn must be Provided to the 2uilding ande hni ea Cerartrrte rt Briar to.
Gne.ccny- ai his.fcrm rnust be provided �a the original harp buyer.
A Frescrlptive..gash .;TA�r Se I�ng C-he klist) ' ,:......... ::...:.:_...
Me carJry �at'tte air sealing requirements spe- fled in the current City of port CoiGns residential =ne'gy Cade
have beers ccrrtpletec in this buiiding, in accordance with the "Air Saslina Chec uis� pui:sished by `,`:e Ct`/ -at rare Coiiins
s
Fersnn Certifyir,e Jcb:
Signature: /10
Susiness Fir n:
address: U73 5. C
Cate: afc-.103
F-;one: 96:2-,96
�tt�
e :p ......_:::._.::_:.._�_.:. :...._._..._.....__..____ ._
1Mle ca �fy drat his building has met the air leakage performance thresh old sperm fted in use current Fart CaiGns
iMe c ref E.-atthi Cade, in accordance with the 'Slower floor Test Froce-C'ures" pubiished by the City of Fart Cofins-
Testing cantractnr.
Cate of test
CF MW0:
Volume:
ACi ita_
Ferman Certifying Job:
Air law through the Hewer dacr at :a P==s Pressure ca'fetenca %o "s)
Voiuma of home (cu. tt)
Air change rate per hour at _7 Pascals Pressure cifferenc_
ACr�O = (C, MeC x 4-0) / Valume
i ne performancs thresticid `cr code =rnprianc_ Ls ACi-iHd
not axcseding 5.0 aclt
Date:
Signature:
Business Firm:
Address:
Phone: