HomeMy WebLinkAbout3815 Rock Creek Dr - Disclosures/Air Sealing - 07/27/2007Oct 15 07 11:34a Rllied Insulation
Fort Collins Residential Energy Code
Air Sealing Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 3821 Rock Creek #*A
General Contractor: Village Homes
Air Sealing Contractor: Allied Insulation
Instructions
3032893329
The building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave, P.O. Boat 530, Fort Collins, CO &0522
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. O.
One copy of this form must be provided to the original home buyer.
A. Prescriptive path (Air Sealing Checklist)
p.I
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 C Phone 1(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 (ctin)
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 ac/b
Person Certifying Job:
Signature:
Address: Date:
Phone: