HomeMy WebLinkAbout4808 Caravelle Dr - Disclosures - 05/11/2004 (2)Fort Collins Residential Energy Code the bu i Id i ng cat zoning dept. of
41R SEALING DISCLOSURE FORM Commynity Planning and Environmental Service
wa:c�as-rnaw 281 N. Poliege Ave., P.O. Sox 530, Fort Collins, CO 8o-sz,?
Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: �70 221 5760 FAX� C-70 L24 6134
Job address:
3eneral contractor.
kir sealing contractor. /V fi W
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lomplete either Part A or Part B .
'art A is to be signed by the air sealing contractor or representative of tl7e general contractor.
'art B is to be signed by the blower door testing contractor or representative of the general Contractor.
F he "Blower Door ► est Report" or equivalent documentation must be attached.
'lease type or print, except for the signature.
f components vary, make multiple entries to describe them.
)ne. copy of this form must be provided to the Building and Zoning Depe1tment prior to C. O.
)ne copy of this form must be provided to the original home buyer.
Pr.escr.iptive:::path (AlrSealing::, heckllstj
.......................................... .... ;.
We certify that the air sealing requirements specified in the current City of Fort goliirs residential Energy Code
,ave been completed in this building, in accordance with the "Air Sealing Checkiis:' published by the Gty of Fort Collins.
`erson Certivsrlrrq-4ob:
nature:
3usiness Firm:�((�.i� (1���.t-L4�tr``0✓'�
kddress: IZ C? r— C ntee1 !J
Date: �rtC-U
Phone:
3 :P.e . gr.rnance path (i3lower 1Jooc Test)
We certify that this building has met the air leakage performance threshold specified in the current Fori Collins
iesidential Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
jesting contractor:
)ate of test:
'FM50:
Voume:
Air flow through the bicWer door at 50 Pascals pressure difference (c`m)
Volume of home (cu. ft.)
�CH50: Air chance rate per hour at 50 Pascals pressure difference
ACh50 = (CFM50 x 60) 1 Volume
The performance threshold for code compliance is AC11-150
not exceeding 5.0 ac/h`
'erson Certifying Job:
signature: Date:
3usiness Firm:
,ddress:
Phone: