HomeMy WebLinkAbout1221 Bateleur Ln - Disclosures/Air Sealing - 11/07/2006Fort Collins Residential Energy Code
Air Sealing Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE used bones)
Job Address; 1221 Batteleur
General Contractor: Greg Bullard
Air Sealing Contractor: Allied Insulation
Instructions
The building & zoning dept. of
Community Planning and Environmental Seavics
291 N. Colleen Ave, P.O. Box 510, Fort Collins, CO ao522
Voice 970 224 6134 Fax: M 22A 6134
Complete either Part A of 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, accept for the sigmnue.
If components vary, make multiple entries to descnbe than
One Copy of this form must be provided to the Building and Toning Department prior to C. O.
One copy of this form must be provided to the original home buyer.
A. Prescriptive path (Air Sealing Checklist)
I/We certify that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code have
been completed, in accordance with the "Air Sealing Checklist" published by the City ofFort Collins.
Person Certifying Job: Brian S. Kruger
gn Siature: ..-- hate: 11-7-06
Badness: Allied Insalatinn _�
Address: 1292 S Cleveland Loyclud Co Phone: (9701-962-9011
B. Performance path (Blower Door Test)
I/We certify that this budding has met the air leakage perforausoce threshold specified in the eurrmt Fort Collins
Residential Energy Code, in accordance with the' Blower Doer Test Proce w&' published by the City of Fort Collins.
Testing contractor:
Date of Test;
CFM50:
Volume:
ACHSO:
Person Certifying Job:
Simuture:
Address:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume of home (cu. Ft)
Air change rate per boor at 50pascala pressure difference
ACIM - (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
Not exceeding 5.0 aoJb
Date:
Phone:
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