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HomeMy WebLinkAbout1103 Bateleur Ln - Disclosures/Air Sealing - 02/07/2007Fort Collins Residential Energy Code AIR SEALING DISCLOSURE FORM .xdmc2.As — 7110196 (Not applicable to E-STAR or ENERGY SCORE rated homes) O�- Job address: General contractor: Air sealing contractor: © 3 & TE Lf the building & zoning dept. of Community Planning and Environmental ServicE 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 221 6760 FAX: 970 224 6134 e L- A) INSTRUCTIONS 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 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. A Prescriptive pith (Air Seallr�g C'hecklpst) I/We certify that the air sealing requirementsspecified in the current City of Fort Collins Residential Energy Code . have been completed in tkbuilding, in accordance wg I�ie "Air Sealing Checklist' published by the City of Fort Collins. Person Certifvina Job: Business Firm: ( 0 &2�/t,Wr. (.A G, lNZ-.O-- e Address: j�c- "SZ"% B Perfortvtance path flower ®oor Test) Date: -'7 - G Phone: y--tb r3 L - 0'7 S I/We certify that this building has met the air leakage performance threshold specifie e current Fort Collins Residential Energy Code, in accordance with the "Blower Door Test Procecluresj�p&lished by the City of Fort Collins. Testing contractor: Date of test: CFM50: Air flow thr gh the blower door at 50 Pascals pressure difference (cfm) Volume: Volu of home (cu. ft.). ACH50: 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 ac/h Person Certifying Job: Signature: Date: Business Firm: Address: Phone: