HomeMy WebLinkAbout2802 Brush Creek Dr - Disclosures - 01/28/2002Fort Collins Residential Energy Code
AIR SEALING IDISCLOSURE FORM
(Not applicable to E-STAR or EN£RGY.SCORE rated homes)
Job address:
1
the building & zoning dept. of
Community Planning and Environmental Service
281 N. Colege Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX 870 224 6134
General contractor. m Cc,,.
Air sealing contractor. 411,led
A M
InStruCtrOns ...
_.
Complete either Part A or Part B .
Part A Is to be signed by the air seating 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 Reporf 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.
A Rresc17110Ve.path`.(Alr $ealin Checklist)
1Nve certify that the air seating requirements specified in the current City of Fort Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checldiat published by the City of Fort Collins.
Person Certifying Job:
Firm: Ajr. od =.
S. C
-- -- Phone: 94o.;1' 61/
1NVe certify that this budding 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
CFMSW Air low through the blower deer at 50 Pascals pressure difference (drn)
volume.• Volume of home (cu. fL)
ACH50: Air chance rate per hour at 3o Pascals preswra difference
ACH50 = (CFM50 x 80) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 aclh
Feraen Certifying Job:
Signature- Date;
Business Firm:
Address:
Phone: