HomeMy WebLinkAbout500 9th St - Disclosures/Air Sealing - 05/02/2006E
rt Collins ResWenffal Energy Cods the building A zoning dept. of
R SEAUNG DISCLOSURE FORM Community Planning and Environmental sere
_W� 281 N. Colege Ave., P.O. Sm 540, Fort comm. CO so=
(Not appliC" to E-STAR or ENERGY SCORE rated homes) Voles: 970 2216700 FAX 976 224 6134
Job addrew: 'roe'
General contractor. Ar ley v 4
Air swung contractor.
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Corrlpleta 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 oar b" Ong contractor or representative of the general contractor.
The "Bimm Door Test Report' or equivalent docxrmesnta0on must be atteduei
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.
INVe certify that the at sealing requirements specified In the current Cky of Fort Cobra Residential Energy Code
have been completed In this building, in accordance with the "Air Sealing Checklist' pushed by the City of Fort Collins.
Person Cattifying Job:
Signature: .`� Date:
Firm:
Phone:
UWe cw* that this buIding has met the air leakage performance threshold specified In the current Fort Come
Residential Energy Code, In accordance with the "Blower Dow Test Procedrues" pub1shed by the City of Fort Cobs.
Testing contractor.
Date of tat
CFM50: Air flow through the blower door at 50 Pastmk pressure difference (drfm)
Volume: Volume of home (cu. ft.)
ACH50: Air Change rite per hour at 50 Pascale pressure di(fw wm
ACH50 a (CFM50 x 80) / Volume
The perfor ante threshold for code cornp/Cnce is ACH50
not ecasodkV &0 adh
Pearson Certifying Job:
Signatures: Date.
Business Firm:
Addra":