HomeMy WebLinkAbout3809 Rannoch St - Miscellaneous - 04/23/2001 (2)Residential Energy Code
Air Sealing Disclosure Form
Joo Addrow ?)JOCI hoc a
General Contractor. �;ciM.onol
Air Sealing Contractor Allied Insulation
Uwe Cat" that the air sealing requirements specified in me ou rent City of Fort Collins Residential Energy Code
nava-Seen-completeo n mts wilding._in a=rcance wi the "Air Saallmq Cnecklist" pUolisned 7y Vie C;ty of Fort Collins,
Canoed er.
Business Firm:
Matt Slanzal
Allied Insulation
AddreW Si9noa+rr Ave —
Phase: / 970-962-9011
Data: y/-23 fpl
UW@ cartsry that this building sae met true air leakage performance tnresnold soeCfled In the current
C;ty of Fort Collins Residential F--IGM Cooe. in ar :orcance with the "910004W Door Teat Procacures"
published oy the City of Pon Collins.
Taeaing ao c=cr.,
Date of last
C17M50: Air now thmuo line bldrar door at 50 Pascals pressure diffe►ence (dm)
Volume: Volume of home (amid foot)
ACH50: Air Change rate per hour at 50 Pascals presume ddf rGr"
ACH50e(CI=M60XG0 W Glum*
The p@ftfrnencu mrasnold for code cornpilance is ACH50 not
exceeding 5.0 arwh
Comprete aides Part A or Part B.
Part A is to be signed by to air ago" oonvactor or representative of tM general Contractor.
Part a is to be signed by the blower door %sllnQ contractor or representative of the general Contractor.
The darer Door Tau Rpoer or **v*Wd doo n WuSdgn mutt to a""" -
Please type or print. except for th* sit; u"Li a -
If oomponenot vary. mew miAole am" describe mom.
One onpy of this fonts snail be provided to the Building and Zoning Department at Mal inspeeion.
one Copy of this form anal be provided to me homebwer.