HomeMy WebLinkAbout3820 Sky Gazer Ln - Disclosures/Air Sealing - 07/27/2007JUM 18 2007 2:08AM HP LASERJET 3200
Fort Collins Residential Energy Code The building & zoning dept. of
Air Sealing Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 3820 Sky Gazer Lane #C
General Contractor: Village Homes
Air Sealing Contractor: Allied Insulation
Instructions
Community Planning and Environmental Service
281 N. College Ave, P.O Box 530, Fort Collins, CO 90522
Voice: 970 224 6134 Fax: 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. 0.
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 of Fort Collins.
Person Certifying Job: James Hart
Sienature: �'� Date:7/27/07
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: Air flow through the blower door at 50 Pascals pressure difference (cftn)
Volume: volume of home (cu. Ft.)
ACH50: 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 aeth
Person Certifying Job:
Signature: Date;
Address: one:
p.4