HomeMy WebLinkAbout929 PINNACLE PL - DISCLOSURES - 6/22/2005FROM :
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FAX NO. :9702821223
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Jun. 23 2005 04:18PM P2
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Fort Collins Residential Energy code the building A zoning dept. of
R SEALING DISCLOSURE FORM oommunHy Planning and Environmental Service
21h N. Cetew Aw., P.O. BOX SM, Fan Cdlns, 00 SO=
(Not applicable to E-STAR or ENERGY SCORE rated homes) vacs; e/e at 9M FAX s/o ZN et31
Job address:
General contractor:
Airsealing contractor:
DO
INSTRUCTIONS
Complete ether PartA or Part 8
Part A Is to be signed by the air sealing contractor or representative of the general contractor.
PartB is to be signed by the blower door testing contractor or representative of the general eoruractor,
The "Blower Door Test Report" or equivalent eoeumen lation must be attached.
Please type or pAnt, except ept For the signature,
If compOments vsry,'mako multiple entries to descdbi them.
One copy of this form must be provided to the Building and Zoning Departmerd prior to C. o.
One copy of this form. must be provided to the original home buyer.
We certify that the air -sealing requirements specified in the current City of Fort Colin Residential Energy Cede
have boon romplsted in this building, In e000erlanoe with the "Air Sealing Checklier''published by the City of Fort Collin.
tiff
IANe ceratytnat this building has manna air leakage perrormarlm thre0old epocified in the current Fort Collins
Residential Energy Code, in accordahcc with the "Blower Door Teel PronedurW' published by the City of Fort comm.
Testing contractor:
Date of cost:
CFMS0:
volume:
ACHSO:
Person Certlfying Job:
AFeav thrm ch the b~ doer at sopom)c Prosuura dirkr (orm)
Voki ne of hares I= R)
AY ohange Ma per hour at 50 Paaoeb praaeurs ddrarenda
AOH 50 = (CFM1'JO x e0) /Volume
Tlx. pertmrwxw thradrdd far Bade—vilanes li ACHOD
not exceeding 5.0 ocb
Signature: Date:
Business Firm:
Address.:
Phone: