HomeMy WebLinkAbout5214 Black Bark Ct - Disclosures/Air Sealing - 08/02/1999Feb-16-00 02:13P
P. 04
[FortCollins Residential Energy Code the building & zoning dept. of
Fort
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
2jj N. ew" Ave, P.O. Box 680, Fort Collins. CO $0522
rNot applicable to E-STAR or ENERGY SCORE rated homes) Voles: 970 ZH 0780. PAX 970 224 4134
Job address: 5214 Blackbark
General contractor. Odau ConstLuction
Air sealing contractor. Gale insulation
:,': 7".*.'...,......'.,'..,-..'...'..'.. M.
InstruoU
ppp":, ................
Complete either Pert Aor Part B.
Pon A Is to be signed by the I& sealing contractor or representative of the general contractor.
Pan B Is to be signed by the blow door feeling contractor of representative of the general contractor.
The "Slower Door Test Reporr or equivalent docilmlintatlon must be attached.
Please type or print except for the signature.
if components very, make multiple entries to describe them.
One ropy of this form must be provided to the Building and Zoning Department prior to C. 0.
One ropy of
this form must be provided to the original home buyer.
A. Preserlotive 4
Ma certify that the 0 sealing regillraments specified It the 0=411t CRY Of Fort Collins Residential Energy Coda
have been completed In lhIs bullidng, In accordance with the Wr Sealing Che~ published by the City of Fort Collins.
Person Certifying MY Jim Y=v
I
Address: 2D16 E. Lincoln Ave., Unit A
Fort wllins,00 80524 'Phone: 970-224-1539
.
B. Perforr4JMW
'AN* codity that the btd*q has met the * Mbge performance threshold specified In the current Fort Collins
Residential Energy Code, In Accordance WWI the"BlorWar Door Test ProoedurW published by the City of Fort Collins.
Testing contractor.
Date of test:
CFM50: AI flow through the blowsr door at 50 Poscals pressure dIffereno (dm)
Volume: Volume of home (cu. it)
ACKSO: Air change rate per how at 50 Pascale pressure difference
ACH50 a (CFM50 x 50) 1 Voiums
The performance threshold for code compliance Is ACH50
not exceeding 5.0 a0h
Person Certifying Job:
,;Ignaturs; Data:
--dusiness Finn:
Address:
Phone: