HomeMy WebLinkAbout6838 Tortola Way - Miscellaneous - 11/09/2000 (2)Job address:
General contractor.
Air sealing contractor.
Fort Collins residential energy code 7/96
Air sealing disclosure form
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A Prescriptive path:.
WVe car* that the air sealing requirements specified in the current City of Fort Collins Residentai Energy Code
have been completed in this budding, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Cottified by Phone: Qi, Z - q oil
Business fi . svcsVf-.b.a Date: // - q pe
Address:,= 4e Signature:
B. Performance path
WUa certify that this building has met the as leakage performance threshold soeclied in the current
City of Fort Collins Residential Energy Code, in accordance with the "glower Ccor Test Procedures," published
by the City of Fort Coffins.
Testing contractor:
Date of test:
CFM50: Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume?: Volume of home (cu. R)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACF250 = (CFM50 x 60) r Volume
The ceeormance thre.noid for code comarianca is ACti50
not exceeding 5.0 ec/h
Certified by Phone:
Business firm: Date:
Address: S(grialturs:
Instructions .
Complete either Part or Part S.
PartA is to be signed by the air sealing contractor or representative of the general contractor.
Part 8 is to be signed by the blower door tasting contractor or representative of the general contractor.
The "Slower Door Test Repcer or equivalent documentation must be attached.
Pious type or print except for the signature.
If components vary, make multiple antnes to describe them.
One copy of this form shell be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.