HomeMy WebLinkAbout700 Stoddard Dr - Miscellaneous - 01/01/2000FROM : MONTYS:HUAC PHONE NO. : Apr. 12 1999 01:59Pr1 PI
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3I1ins residential energy code
Air sealing disclosure form
Job address: 72
General. contractor. Lt
Air sealing contractor. _(]At
I/We certify that the airseadng requirements specified in the current City of Fort Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist' published by the City of Fort Caldns.
Certified- by: 1. Y16�UIrJ ► I?r Phone: 6j�1
Business firm: Z)tj i�r C2 ,i14in90 + r Date:
Address: _ g 4 W J4&rAwa,� Signature:
...
B. Perfezerrtanpath
UWe certify that this building has met the air leakage performance threshold specified in the current
City of Fort Collins Residential Energy Code, in accordance with the "Blower Door Test Procedures," published
by the City of Fort Collins.
Testing contractor.
Date of test:
CFM50:
Volume:
ACH50:
Certified by:
Business firm:
Address:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume of home (cu. ft)
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 acth
Phone:
Date:
Signature:
Insfructigns
Complete either Part A or Part B.
Part A is to be signed by the air sealing 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.
The "Blower Door Test Report" 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 torn shad be provided to the. Building and Zoning Department at final inspection.
One copy of this forth shad be provided to the homebuyer.
Fort CopimmmOMMY;ode 7/96
Job address:
General contractor u
woe amba ftr. I T,
Flat or vaulted plunge
WM attks above
Ceilings WM andosed
rafter cavltles
Frame walls and rh mind
joists —to exterior
Frame walls and rimlband
joists — to attic, garage
Fame floor-ardlever
Frame floor -over garage or
crawl space
Crawl space wails
Basement "it
Rated Location