HomeMy WebLinkAbout6944 BARBUDA DR - DISCLOSURES - 6/17/2003t ter` Collins R.esidenual Energy Code
WR SEALING DISCLOSURE FORM
/Or�Y.- TAOFIC
(Not appGc3bie to E- TAR or ENEP,GY SCOPE rated homes)
Job address:
Air searing cont3ct0r: R.G. Insulation Co-
-the building & zoning dept. cT
Community Planning and Environmental Service
'_'81 N. College Ave., P-0, Sox 580. Fort CdEr ;, CO 805�=1
Voice: 970 2216760 FAX 9�0 =4 6134
ins
Complete either Part A or Part B
Part A is to be signed by the air searing 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.
►he "Blower Door Test ReporP or equivalent documentation must be attached
Please type or print, except for the signature_
if components vary, make multiple entries to describe thetas_
One copy of this form must be provided to the Building and Zoning Department prior to C. O.
One copy of this forms rr iust be provided to the original home buyer_
-_ ----.; •. th- Ali- Seatin "•Checklist
_ t�
ve - -
Me cer&y tt-,t the air sealing requirements specffed ki the current City of Fort Calms Residenfd Energy Code
have been con. pleted in its buildit-9, in accordance wWd-ie Air Se3fing Checklist' pL bashed by the City of Fort Colrm.
Person Certifying Job:
Si4nature:
Robertson
Date: U'-1"7� 0_3
Business Firm- P G In=❑ anon Co
;dd ess: 2505 E. 74th Ave-
hPnvar, c'o Ano�9 Phone: (303) 287-9625
-- - - - -
ath_: Blower Do rT. - - - _ - _ = - - -- -
o -
ce . es� - .
B. elf - - . -.- - - - - - ..
ULVe cer-d y that d-is tuj&ng has met the air leakage performance threshold specined in the cusrert Fort COE-*
Resident5-1 =nergy Code, in accordance with the "Slower Door Test Procedures" puDldaed by the City of Fort Corns.
Testing contractor
Date of test
C FM50: Air flow through the blower door at 50 Pssca s pre=we dfference (c )
Volume; Volume of home (ai ft.)
ACH50: Air change rate per hour at 50 P==- . prem—we difference
ACH50 = (CFi4150 x 60) / Volume
The perfomra m threshold for code compliance is ACH50
not ameedng 5-0 ac-th
P erso n Certifying Job:
S is rrture _ Date:
Ccssiness Firm=
Phcr:e: