HomeMy WebLinkAbout850 S Overland Trl - Disclosures/Air Sealing - 04/26/1999Fort Collins Residential Energy Code the building & zoning dept. of
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
.ti &I�-YaGM 1 281 N. College Ave., P.O. Box 580, Fort Col m, CO 80522
'Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: 970 2216750 FAX 970 224 6134
rJob address: 850 S. Overland #`I A*? -
General contractor. Valley Crest Hanes
Air sealing contractor. Gale Insulation
::........................................................................................... _........
a...:.......................................................................................
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 B 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.
A. Prescrl tive `ath AtrSeailn'h:�ecklTstj
p p: ...: h• ...... ::........
I/We certify that the alr sealing requirements specified In the current City of Fort Collins Residential Energy Code
have been completed in this building, In accordance with the "Air Sealing Checklist" published by the City of Fort Collins.
Person Certifying Job: J ,Yam
--di nature:
Date: 4/26/99
Business Of Gale Insulation
Address: 2016 E. Lincoln Ave., Unit A
Fort Collins,CD 80524 Phone: 970-224-1539
B. Perfocmanc.@:;Rt:`(,IgtNi';DQ; 4T:tS:s>::>:::``.::.........
i/W a certify that this building has met the air leakage performance threshold specified In the current Fort Collins
Residential Energy Code, In accordanoe 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 Pascals pressure dlRerence (dm)
Volume: Volume of home (cu. ft.)
ACH50: Air change rate per hour at 50 Pascals pressure dfference
ACH50 ■ (CFM50 x 50) / Volume
The performance threshold for code compliance Is ACH50
not exceeding 6.0 acth
Person Certifying Job:
Signature: Date:
—Business Firm:
Address:
Phone: