HomeMy WebLinkAbout1214 Bateleur Ln - Disclosures/Air Sealing - 03/30/2007E
Collins Residential Energy Code
SEALING DISCLOSURE FORM
airdiscZ)ds — 7110/98 .
(Not applicable to E-STAR or ENERGY SCORE rated homes)
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
Job address: 1 a I t . `te � C� � r �f�t � car � �o(Ii vas cc) 97�
General contractor: ��-rA— y ✓>�—
Air sealing contractor:�rv�_Ks�...�-��o��
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. 0.
One copy of this form must be provided to the original home buyer.
— A► Prescrip tive pa$h (Air Sealing C,hecW 1)
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 Collins.
Person Certifying Job:
Signature: �- Date: 3 3a --C
Business Firm:' V- �x ` _]
Address: cc�r La�.co-o✓i--�C��v.s
Phony -.`�)-aLf- L(SD e
B Perf®rtxaance paw (BI®over I)o®r Test)`
I/We 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: Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume: Volume of home (cu. ft.).
ACH50: 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 ac/h
Person Certifying Job:
Signature: Date:
Business Firm:
Address:
Phone:
Fort Collins Residential Energy Code
Air Sealing Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 1214 Bateluer
General Contractor:
Air Sealing Contractor: Allied Insulation
Instructions
The building & zoning dept. of
Community Planning and Environmental Service
291 N. College Ave, P.O. Box 590, Fort Collins, CO 90522
Voice: 970 224 6134 Fait: 970 224 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, 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 path (Air Sealing Checklist)
WWe 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 of Fort Collins.
Person Certifying Job: Brian S. Krueger
S nature: Date:03-21-07
Business: Allied Insulation
Address: 1292 S. Cleveland Loveland Co Phone: (970)-962-9011
B. Performance path (Blower Door Test)
I/We 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:
Person Certifying Job:
Signature:
Address:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
volume of home (cu. Ft.)
Air change rate per hour at 50pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
Not exceeding 5.0 ac/h
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