HomeMy WebLinkAbout219 W Myrtle St - Disclosures/Air Sealing - 10/11/1999IFort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
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(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address:
General contractor.
Air sealing contractor;
the building 6 zoning dept. of
Community Planningand Environmental Service
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice; 970 221 6760 FAX 970 224 0134
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as
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Complete either Part Aor 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 "Slower 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.
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Me cardify that the air sealing requiremento specified in the current City of Fort Collins Residential Energy Cocle
have been completed in this building, in akordance with the "Air Sealing Checklist' published by the City of Fort Collins.
Person
Firm:
Address:
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ormanc r
Test)
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lWe certify that this building has met the air leakage performance threshold specified in the current Fort Collins
Residential Energy Code, in accordance with the "Slower Door Test Procedures" published by the City of Fort Collins.
Testing contractor.
Date of test.
CFM50- Air flow through the blower door at 60 Patcale pressure difference (dm)
Volume: Volume of home (cu. it)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACH60 = (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:
Phone: