HomeMy WebLinkAbout1327 SAINT CROIX PL - DISCLOSURES - 6/17/2003t or= Coffins Residential Energy Code
W, RM SEALING D(SCL.OSURE FORM
tea- moos
(Not appGcabie to E-STAR or ENERGY SCOPE rated homes)
Job address:
the building & zoning dept_ cT
Community PLanning and Environmental Service
281 N. College Ave_ P-O. Box 580, Fort Cof r , CO 805.4
Voice: 970 =1 GPM `60 FAX- 970 =4 6134
General contrzetOr R=RmMm s ma :. ut
Air searing contractor: R.G. Insulation Co.
instrt.lcflor.�=-�::.:�r �:a�•� :•:::�=� � __� ���::�;_;=� _:__:�:�_�=_a�_�� �;�- � __==^-:=�=_:=:__�:� �::�-:.:::-�-_ �_� _�:�'-:�-;-��:,;: �::�:
Complete either Part A or Part B
Part A is to be signed by the air seating contractor ar representative of the general coniador_
Part B is to be signed by the blower door testing contractor or representative of the general contractor.
i he "Blower Door Test Reporr or equivalent documentation must be attached_
Please type or print, except for the signature_
If components vary, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department prior to C. Q-
One copy of this form must be provided to the original home buyer_
......................•.- — - — -- - - -
- _ .
A_:.Pr n eve a�1i AspChecki►s = -
P. - -- - - -
Me certiy ftt the air sealing requirements sPedned h the eaten City of Fort CoTzns Residential Energy Code
have been completed in tHS buridur:g, in accordance wirh'the Air Sealing Checkfisf pubfehed by the City of Fort Collins.
Pe. --,on Cer-hying Job:
BusinessFm: R-G_ _Insulation co
Address: 2505 E. 74th Ave_
L?nvAr rn Phone: (303) 287-9625
. ....... :. .. . .............
Per -fro. ce ath: Sloweri3o - -_ - - -- -- - -
B.rnan r T - -
P- -
. es�.
"Ile ce—diy that ttj-. buiicsr:g has met the air leakage performance threshold spediied in the current Fort Cof m
Rer:dentEJ- Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Co&m.
Testing contractor_
Date of test
CFMsa:
Volume.
AC4. 50:
Person Certifying Job:
Signature:
E u--in ern Firm:
Airflow through the blower door at 50 Pascas pressure cWerence (c ., )
Volume of home (aL tt)
Air change rate per hour at 50 Paso pressure difference
ACl-f50 = (CFM50 x 60) f Volume
The perfomrm= threshold for code compliance is ACHS0
not exce--cfrug 5.0 aclh
Fhcne-