HomeMy WebLinkAbout3820 Gardenwall Ct - Disclosures - 12/17/2001 (2)OCT-25-2001 THU 10:06 AM FC BUILDING AND ZONING FAX NO. 9702246134 P. 01
Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
(Nct applicable to E-S i AP, or ENERGY SCORE rated homes)
.Job address: 9%-m (1L1f71 If alai l
General contractor. l "M.or\ A
Air sealing contractor: Nli, d No4
the building & zoning dept. of
Community Planning and Environmental Service
281 N. Cclege Ave., P.C. 5cx S00, F:cl Ccilins, CO 30522
Voice: 970 221 6760 FAX: 970 2C4 6124
..
lnstructlons
Ccrr,plete either Part A or Part 8 .
Fart A is to be signed by the air saaling contractor or representative of the general contractor.
Par, B is to be signed by the blower dcor testing contractor or representative of the general coritrac`.cr.
The "Blower Door Test Reper," a- epuivalent dccumentatien must be attached.
Pleasa 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. C.
One copy of this fcrm must be provided to the original home buyer.
............................... - -- _ ....
A_ Presc'r"i-.........'tive'•ath' 'Ai�.:.Sealin >.Checklist `'''
:::.. ........... i.. 9: ):.::> :::::
1MJe 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 Cfij of Fort Collins.
Person Certifyin o �. J(Q,11kwp
Signature: Date.• 12-1'7-0 1
Eusiness Firm: IlliA of+
............... .
..rmance'bat.h...�.....Blower: Doa•r..B PerFo�T
lv�:
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.:..... .... .........�..................•..:..x. ... ............ .... ..,... i..
Me car ily that this building has met the air leakage performance threshold specifted in the current Fort Collins
Residential Energy Code, in accordance with the "Slower Door Test Procedures" published by the City of Fort Collins.
Testing contractor.
Date of test:
CF!dso:
Air Raw through the blower door at 50 Pascals pressure difference (c!m)
Volume: Vclume of home (cu. ft.)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACH50 - (CFM50 x 60)1 Volume
The peAcemance threshold for code compliance is ACH50
not exceeding 5.0 adh
Person Certifying Job:
Vgnature-- Date:
Susiness Firm:
Addrass:
Phone;