HomeMy WebLinkAbout5236 Clarendon Hills Dr - Disclosures/Air Sealing - 08/25/2010City of
Fort Collins
Planning, Development & Transportation
Community Developmetn & Neighborhood Services
281 N College Ave P 0 Box 580
Fort Collins CO 80522
Phone 970-416-2740 Fax 970-224-6134 wwwfcyovmm
Residential Energy Code Air Sealing Disclosure Form
(not applicable t E Star JJr Energy Score rated homes)
Job Site Address �a3� �G4P e� 1��tG5 �Q 1 1A11A �i Permit # B 1000 1313
General Contractor alr�a rn� a9STPUCT IQ L) ellcc�5
Instructions
Complete either Part A or Part B
Please type or pnnt legibly (except for the signature)
One copy of this form must be provided to the Building Department prior to C O
One copy of this form must be provided to the original home buyer
A Prescriptive Path (Air Sealing Checklist)
Part A is to be signed by the Air Sealing Contractor or representative of the general contractor
I/we 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 Sealing Checklist published by the City of Fort Collins
Person Certifying Job SpIIAZZO
Business
Address
Signature
B Perfomance Path (Blower Door Test)
Phone
Date
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
I/we certify that this building has met 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 _
CFM50
Volume
ACH50
Person Certifying Job
Business Firm
Address
Signature
Date of Test
Air flow through the blower door at 50 Pascals pressure difference (cfM)
Volume of home (cu ft)
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50 not exceeding 5 0 ac/h
Phone
Date