HomeMy WebLinkAbout5433 Northern Lights Dr - Disclosures/Air Sealing - 07/13/2004Fort Collins Residential Energy Code
Air SeaWtg Disclosure Form
(Not applicable to E-STAR or WERGY SCORE ra W hmm)
Job Address: 5433 Northern Lights d of
General Contractor: Village Homes
Air Sealing Contractor: Allied Insulation
The building & zoning dept. of
Community Planing and Envirmnental Service
291 K College Ave, P.O. Box 580, Fart Collins, CO 80522
Voice~ 970 224 6134 Fax: 970 224 6134
Instructions
Complete either Part A of Part B
Part A is to be signed by the air sealing contractor or representative of the general contractor.
Part B is tin be Signed by the blower door testing contractor or rePre matative of the general contractor.
The "Blower Door Test Report" or equivalent documentation must be attached.
Please type orpritlt, except for the signature.
If components vary, make multiple ent nes 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.
A. Prescriptive path (Air Sealing Checklist)
I/We certify that the air sealing requirements specified m the current City of Fort Collins Residential Energy Code have
been completed, In accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Person Certifying Job: Brian S. Krueger
re Date: 7-12-05
Burdness: Allied Tnaulation
Address 1242 S Cleveland Loveland Co Phone: f970)-962.9011
B. Performance path (Blower Door Test)
I/We certify that this building 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:
CFM50: Air flow through the blower door at 50 Paxals prearrre ctiffenrarcae (efin)
Volume: volume of home (cu. Ft.)
ACH54: Air change raft per hour at 50pascals press= difficreme
ri ri3V = (% 114 U x Du) % V ej =a
The performance threshold for code compliance is ACH50
Person CertifAW Job:
Slenature:
Address:
2 -CI 0026 13rN3SHI dH WdBS : I S00a 21 inn