HomeMy WebLinkAbout850 S Overland Trl - Disclosures/Air Sealing - 01/01/2000 (7)Fort Collins Residential Energy Code the building &zoning dept. of
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
. $" -.n.« 261 N. College Ave., P.O. Box 580, Fort Col m. CO 00522
'Not applicable to E-STAR or ENERGY SCORE rated homes) Voles: 070 221 6750 . FAX 970 224 e134
Job address: 850 S. Overland, #12 ov1 a )-1
General contractor. Valley Crest Hanes
Air sealing contractor. Gale Insulation
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Complete either Part A or Part 8 .
Part A is to be signed by the air sealing contractor or representative of the general contractor.
Part 8 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.
It 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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A. Prescriptive paxh A rSea lr ; c,l YTst....;.
INVe certify that the air sealing requirements speolfled In the current City of Fort Collins Residential Energy Code
have been completed In this building, In accordance with the "Air Seeing Checklkr published by the City of Fort Collins.
Person CertifyIr%Job: Jim Young
bi natu Data: 8/5/99
eusin s Gale Insulation
Address: 2016 E. Lincoln Ave., Unit A
Fort Collins,OD 80524 Phone: 970-224-1539
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B. Periormanc.a pl } I V(...... a '..... ......:... .... '
Me 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: Ali flow through the blower door at 50 Pascals pressure difference (chn)
Volume: Volume or home (cu. R)
ACH50: Air change rate par hour st 50 Pascale pressure dI ference
ACH50 a (CFM50 x 50) I Volume
The-performance-threahold'ior code-com*ni is ACI;50
not exceeding 5.0 acfi
Person Certifying Job:
Signature: Date:
—dusiness Firm:
Address:
Phone: