HomeMy WebLinkAbout1345 Banyan Dr - Disclosures - 10/18/2002 (2)Oct,18. 2002 2:58PM R G INSULATION 303 289 2456 No-9582 P. I
rort Collins Residential Energy Code the building & zoning dept.. of
AIRSEALINGDISCLOSURE FORM Community Planning and Environmental service
amaez�ft - vin" 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 9702246134
Job address:
General contraictor. VTf-WMQMn AMrHTra?,7 t4C)Mra
Air sealing contractor. R.G. Insulation Co.
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;C;,M,pie'te, 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 "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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I/We certify that the air searing requirements specified In the current City of Fort Collins 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:
Signature:
Business Firm:
Address: 2505 E. 74th Ave.
T)P-nvtmr- rn 80229 Phone: (303) 287-9625
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IlWe certify that this building has met the air leakage performa*nce 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:
CFM50:
Volume:
Air flow through the blower door at SO Pascals pressure cliderence (cfm)
Volume of home (cu. %)
ACH50: Air change rate per hour at 50 Pascals pressure difference,
ACH50 v (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: