HomeMy WebLinkAbout806 SHORE PINE CT - MISCELLANEOUS - 3/22/20011
MAR-2n-9nol THE 11:46 AMFO OUILDING AND '70 LOWING FAX NO. 9702246134
P. 03
Fort Collins Residential Energy Code
the building A zoning dept. of
AIR SEALING DISCLOSURE FORM Community Planning and Environmental Service
281 N. CdeQ& Ave., P.O. Box SaO, Fort Collins, CO 8o522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: 970 221 6780 FAX: 970224SI34
Job address-.
General contractor
Air sealing contractor.
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................
Instructttyrls ..... ..........
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.
b...
A. Prescriptive Sealing:— dklit
Me certify that the air searing requirements specified in the current -City of Fria-COMM-R4eside."al-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:
. . .........
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t{v�r DoorT
B. PerforMarl: '0
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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 Clty of Fort Collins,
Testing contractor.
Date of test:
CFM50;
Volume:
ACH50:
Person Certifying Job:
Signature:
Business Firm:
Address:
Air flow through the blower door at So Pascals Pressure difference (cfm)
Volume of home (cu. ft)
Air change We per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 6o) / volume
The Performance threshold for code compliance Is ACH50
not exceeding 6.0 ac/h
Phone: