HomeMy WebLinkAbout1327 NASSAU WAY - DISCLOSURES - 6/17/2003t cr= Collins Residertua! Energy Code
JA1R SEALING D(SCI_OSURE FORM
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(Not applicable to E_sTAR or ENERGY SCOPE rated homes)
Job address:
Air searing contactor R.G. Insulation Co-
the building & Zor.ing dept. cT
Community Planning and Environmental Service
281 N. College Ave, P-0. Sm 580, Fort CoWra, CO 8054
Voice 970 2216 i 160 FAX 970 =4 6134
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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.
i he "Blower Door Test Report" or equivalent documentation must be attached_
Please type or print, except for the signature -
If components vary, make rnultiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department prior to C_ O.
One copy of this form must be provided to the original horse buyer.
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Me cer* thzt the -air selling requirements specified h the current City of Fort Coffm P,esideraW Energy Code
have been con, pleted in NS buildir:g, in accordance wit h'the !Air Seising Checkid" pubfrvhed by the City of Fort Collirm.
Pe. won Certifying Job:
Si
Todd Robertson
Date: 6 'I %'y 3
Eusiness Firm: P. _ G _ Tnsulatiori Co
address: 2505 E_ 74th Ave.
r -nver _ rn 80-)?g Phone: (303) 287-9625
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Me cendiy that &- . buu-av:g hM= met the air leakage performance threshold specified in the current Fort Co&-*
F:esiden$:l Energy Code, in accor&.nce with the "Slower Door Test Procedures" published by the City of Fort CocTns.
Testing contractor:
Date of test
C FMS 0: stir flow through the blower door at 50 Posers Fremure eEfference (c „ )
Volume: Volume of home (ra. tt)
AC;•ISO. Air change rate per hour at 50 Pasc:a pressure difference
ACH50 = (CF14L50 x 60) / Volume
The perfomhance threshold for code compliance is ACi-l50
not ezceedhng 5.0 acih
Person Certifying Job:
Signature: Date:
Su!--iness Firm:
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Phone: