HomeMy WebLinkAbout1338 Saint John Pl - Disclosures/Air Sealing - 08/14/2001SENT BY: ALLIED INSULATION:
970 962 9141; AUG-14-01 2:09PM; PAGE 12/12
FortCollins Resiclenual ener
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AIR SEALING DISCLOSURE FORM' Community Plarninig and Environmental Service'
WdMd.*-?AQM 281 N. Cole" Ave., P.O. Box $80, Fort Collins, CO 80522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice. 9702216760 FAX: 970224el34
Job address: -*TO ws
contractor.General contructok4C".A
Air sealing contractor: Air,014 a`,�*,44teA
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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.
he "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. PrescriptivO path (Air Sealing CheiCklist)
YvVe certify that the air sealing requirements specified in the current City For: CcIll.-is Residential Energy Code
have been completed in this building, in accordance with the "Air Searing Checklist" published by the City of Fort Collins.
Person Certifying Job:
sianature,
rtes;s Firm: 11'.04 7- i4l
Address: Q9.2 S. C /ewe Inod I
Phone- 96 2=ft
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Me certi4ly that this budding has met the air leakage performance threshold specified In the current Fort Colons
Residential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Colons.
Testing contractor.
Date of test:
CFM50:
Air flow through the blower door at 50 Pascals pressure difference (dm)
Volume: Volume of home (cu. ft)
ACH50: Air change rate per hour it 50 Pascals pressure difference
ACH50 a (CFM50 x 80) /Volume
The performance threshold for code compriance Is ACH50
not ww"ding 5.0 adh
Person Certifying Job:
Signature; Date:
Business Fiffn:
Address:
:;..Phone.