HomeMy WebLinkAbout427 Riva Ridge Dr - Miscellaneous - 12/26/2000Inns Residential Energy Code
JAIR SEALING
FORM
(Not applicable to E-STAR or ENERGY SCORE rated homes)
i K
Job address: 41; UCt hC r
General contractor.
Air sealing contractor. SealTech Insulation
The building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave., P.O. Box 580, Fort Collins, CO 8o522
Voice: 970 221 6760 FAX: 970 224 6134
I-.
instruct!on
...........
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 Reporf' 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 form 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.
I/We certify that the air sealing 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 Coffins.
Person Certifying 40: Joseph M. Colvin
Date: i ,a
Me certify 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 Test Procedures" published by the City of Fort Collins.
Testing contractor.
Date of test:
CFM50:
Volume:
ACH50-,
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 ardh
Person Certifying Job:
Signature: Date. -
Business Firm:
Address:
Phone:
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