HomeMy WebLinkAbout645 STONEHAM CT - DISCLOSURES - 1/24/2000 (5)1.
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Job address:
General contractor:
Air sealing contractor:
Fort Collins residential energy code 7196
Air sealina disclosure form
UWe 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.
Certified by: Phone: 4,,L,,jL.
Business firm; L /i B Date: /-
Address:_ilp3? 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:
Volume:
ACH50:
Certified by:
Business firm:
Address:
Air flow through the blower door at 50 Pascals pressure difference (ofm)
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:
Signature:
xete eRnar Part A or Part B.
11 be signed by the air sealing contractor or representative of the general contractor.
>>t,lfa Signed by the blower door testing contractor or representative of the general contractor.
�BI6uVli biior Test Report" or equivalent documentation must be attached.
N%*`ot`pfittt, except for the signature.
i % n6hts yary, make multiple entries to describe them.
copy of this form shall be provided to the Building and Zoning Department at final inspection.
!copyof this form shall be provided to the homebuyer.
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