HomeMy WebLinkAbout933 Glenloch Dr - Miscellaneous - 08/20/2001 (2)SENT BY: ALLIED INSULATION:
07A 0R13 01d1
Al Mk- 9n-R1 113•AVAMA
PAGE 7/8
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(Not applicable to ESTAR or ENERGY SCORE rated homes)
Job address:
General contractor:
Air sealing contractor.
93 (;IenI -k T,�,
se, IN. %.caege nve., r.v. aox ono, Fort Comns, co eo522
Voice: 9702219760 FAX: 970 224 e134
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natrUatilc¢1s:- Cc'. ': f:; Y;:; ;;;:: ;::4; fC.?{:!:.!>:C '-:`i;: ..... !.:;i4 ':;l '.':;;r :`i;::>: r:::-i ..` : : ''' r; r ....... :
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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 forth must be provided to the Building and Zoning Department prior to C. O.
One copy of this form must be provided to the original home buyer.
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A. Prescriptive path (Air Sealing Checklist)
?Mle certify that the air sealing requirements specified in the current City of Fc^ Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Person Certifying Job.
... 3¢r/, KJ F a
signature. Date:
Business Firm:
Address: 129� Clax��
Phone: ` &.1-9alll
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Berforrance:path(Blower0'oo:Test):;:;
Me car* that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, In accordance with the 'Blower Door Tag Procedures' published by the City of Fort Collins.
Testing contractor.
Date of test:
:�7J3E%A
Volume:
ACHSO:
Person Certifying Job:
Air flow through the blower door at 50 Pascale pressure difference (cfm )
Volume of home (cu. R)
Air change rate per hour at 50 Pasram pressure difference
ACH50 = (CFM60 x 60) !Volume
The performance threshold for code complance Is ACH50
net axeeedng 5.0 aern
Signature: Date:
Business Firm:
Address: