HomeMy WebLinkAbout645 STONEHAM CT - DISCLOSURES - 1/24/2000y�
Fort Collins residential energy code 7/96
Air sealing disclosure fonn
Job address:
General contractor:
Air sealing contractor: NLLIE4�) �'t l�Vr raj
IIWe certify that the air searing requirements specified In the current City of Fort Collins Residential Energy Code
have been completed in this building, In accordance with the "AIr Sealing Checkfist" published by the City of Fort Collins.
Certified by:.,�.�Ptiitl Phone::?L
Business -firm: /kiaQ w Date: /-
Address 11p,31 Signature:
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Me certify that this building has met the air leakage performance threshold specified in the current
City of 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 Pascals pressure difference (dm)
M, Volume: Volume of home (cu. ft.)
1ACH50: 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 acth
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Certified by Phone
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Business firm: Date:
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Address
Signature:
nptataepna Part A or Part B.
t;J it be signed by the air sealing contractor or representative of the general contractor.
tg i bA Signed by the blower door testing contractor or representative of the general contractor.
jp6ofTest Report' or equivalent documentation must be attached.
of ptint, except for the signature.
6tnponiks vary, make multiple entries to describe them.
it copy of this form shall be provided to the Building and Zoning Department at final inspection.
i6 oopy of this form shall be provided to the homebuyer.
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