HomeMy WebLinkAbout969 NIGHTINGALE DR - DISCLOSURES - 8/4/2004 (2)rt Collins Residential Energy Cods
i SEALING DISCLOSURE FORM
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t applicable to e STAt : or ENERGY SCORE rats: homes)
t address:
Iarat contractcr:
sealing contractor:
the building & zoning dept. of
Community Planning and Environmental Service
281 V Celle_e Aye., P.G. acX 5W. For Collins, CO 205Zz
VCic9: ziG 221, SrcJ F4;C ,r-_-' 224 5134
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.�.U•CtJ Q n ...............
npiete either Par, A or Par E .
t A IS to. be signed by the air sealing c:;ntractur or represeni`,tIve of l"F cE: oral
t $ is to be signed by the blower door te5%lnty =ntractor Cr reprasar,;ative G' tie Qer;eral can;raG;or.
"Blower Door 1 ast t= epori" or equivalent docurnerltaticn must be aitacnec!.
sse type or print, except for the signatura.
:mponents vary, rneks multiple entries to eescribe them,
' c3py Of this forth must, be prcviCed to u� a t, u ldina anti 7Cr:in w C8: c'u ,2: it i:r,Cf t0 tie C.
CoPy of thin far<<, must be provided to the criginaI hcme buver,
Prescriptive ealing heckisstj
certiry that the air 3salint7 recuiremer;ts sreclfec' in the current -Itj of Fcr, Cc,tir,s � escertla! ��er_ � Ccde
= bean ccmp(ete" In it3 14tlGine, in 8C yorQunCB'Niih-the "r,r Seaiin, ri 8r by iTe�; of -C{� ('.oiitnS.
son Ce 6ifvinr•Joc:
nature: �z
siness Firm:
grass: /" ,
Cate; P'-
Phone:
per`crrri'anoe path. ( Slower.,, Doot• I es�)
e certty that this bu8ding has met the air, lea,"ge performance threshold spe.:fled :n the current For, Conine
;icential Energy Coca, in accordance with the "Flower poor Test Frocedures° pubiisied by the City o-f ,=cr Ccilins,
sting contractor:
to of test:
M50: Atr fcw ti',t,7Uyh the tiewer c,,c, e: scv Pis.-cts prassure "ix8rence (cart)
lurrte' VGIUme c1 home (cU. ~.)
c�. Air Chrmt2 ra`.4 per ;Sour Pezzais preSg,,re C 44-rance
Veiune
The performance thresr,olcl I= code con.pilzncs is AC-E0
net e=ze-ding 5.0 ac/h
aeon Certifying Job:
anature: Date:
asiness Firm:
dress: �.
Phone:
TO 9Vd WIN VOL019POLGT LE:OZ 1700L/1170/80