HomeMy WebLinkAbout6715 Rose Creek Way - Disclosures/Air Sealing - 07/21/2005I Fort Collins Residential. Energy Code
AIR SEALING, DISCLOSURE FORM
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(Not appricable to E-STAR or ENERGY SCORE rated homes)
Job address:
General contractor
Air sealing contractor:
the building & zoning dept. of
Community Planning and Environmental Service
281 N, College Ave., P.O. Box 680, Fort Coffins, Co 80522
Voice: 970 2216780 FAX: 970 224 6134
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Complete either Part A or Part B -
Part A is to be signed by the air sealing contractor or representative of the general contractor.
Part 9 is to be signed by the blower door testing contractor or representative of the general contractor.
The "Blower 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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JAAfe certify that the air sealing 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: Date:
Business Firm:
Address:
Phone:
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lWe certify that this building has met the air leakage performance threshold specified in the current Fort Colons
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 50 Pascals pressure dtfference (dm)
Vdlume of home (cu. ft)
ACH50: Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) 1 Volume
The performance threshold for code compliance is ACH50
not exceedina 5.0 acth
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