HomeMy WebLinkAbout1127 Lochmore Pl - Disclosures/Air Sealing - 08/20/2001SENT BY: ALLIED INSULATION
970 962 9141; AUG-20-01 12:30PM; PAGE 2
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1AIR 'SEA! 1N ISCIL68ILY P611M Comm6nity P lannlrig and Environmental Service
"Am"-MG011 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: 970 2216760 FAX 970 224 6134
Job address:
General contractor.
Air sealing contractor.
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Complete either Part A or Part 8 ...... .
1A is to be signed by the air sealing contractor or rep rssenta,ive of the c2aneral contractor.
Part. 8 is to be signed by the blower door testing contractor or representative of the general contractor.
The "Ellcwer Door Test Report' or equivalent dccumentaticr must to a!fzched,
=Iease type or print, except for the signature.
If components very, 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.
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A. Prescriptive path (Air Sealing Checklist)
I/We certify that the air sealing requirements specified in the current C! of rcr: ^;�jij-,s
'k� Residential Energy Cede
have been completed in this building, in accordance with the "Air Sealing CheckilsVpubrished by the City of Fort Collins.
Person Cert
Business kirm: I
Address:
Phone:
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/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.
resting-cont ctor.
Date of test:
:;FMSO: Air flow through the blower door at So Pascals Pressure difference (cfm)
/clume: Volume of home (cu. ft)
kCH50: Air change rate per hour at So Page" Pressure difference
ACHSO = (CFM50 x 60) Walumg
The performance threshold for code COMPlance is ACH50
not exceeding 5.0 acdb
2erson Certifying Job:
Ngnature- Date:
lusiness Firm:
keldress:
Phone:
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