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HomeMy WebLinkAbout3827 Steelhead Dr - Disclosures/Air Sealing - 04/24/2006Fort Collins Residential Energy Code AIR SEALING DISCLOSURE FORM urasc2.*—?R"S (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 2216760 FAX: 970 224 6134 Job address: �a S71C�Z- ,44--?W 0,00- plNt "7— C General contractor. . Chateau Air sealing contractor. Collins Cashway Insulation n s. tr ct�o . •.: 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. i ....: ,........,.. ,....:. •::.........:::........ • :::.::.... ...: ...... • ,, ,. ...... i. . Prescri : tiwe :.. at}� Air Sealln .::C:h.ec.klist::.. :............ :::::::: ........... ,:;; .::;;•.:.::::•;: :.....: p:..............p..............i.:.....:........J.............................)...................................:...:...:...:..................:.:.....::...::: }:::: :...:.: :.:..................................q ...... ........ p............................................................................................;......:•.:::.:::........:::::::.:::::::................... I/We certifythat the air sealingrequirements specified in the current Cityof Fort Collins Residential EnergyCode have been completed in this building, in accordance with the "Air Sealing Checklist" published by the City of Fort Collins. Person Certifying Job: Dave Ramirez Signature: Date: Business Finn: Co Tins Cashway Insu Address: 240 Barberry Place Loveland Phone: (970) 669-6043 ....::.::.....::::•::::•::::•.:::•::...::::::::::::.:....:•::::::•:::::::::::....................................................................................................................... erformance: ath B1.o.er: Doo.r:;:: ::::::::,::.:::::::::..::: :::.::...:.::::.::.;_.:.:;::::.:::::::::::::::;::::: :.::.::..p:::.-:::::::•.�:::.::::.:::::.::..::::.............fist .:::::::.:::::::-:::..........................._.......................... :.... _.............. 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. i Testing contractor: Date of test: CFM50: Air flow through the blower door at 50 Pascals pressure difference (cfm) Volume: Volume of home (cu. ft.) I 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: i Phone-