HomeMy WebLinkAbout821 ROMA VALLEY DR - MISCELLANEOUS - 5/4/2001 (2)Energy Code
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job address: 412-1 ��k A,
General contractor. 5k
the building& zoning dept. of
Community Planning and Environmental Service
281 N. College Am*, P.O. Box 580. Fort Collins, CO 90522
Voice: 970 2216750 FAX 970 224 6134
Air sealing contractor.
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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 Mower Door Test -Report" orequivalentdocumentation-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.
A. Ir Seadhi� Checklist)
'Prescrip h ik:(A---
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VWe certify that the air sealing requirements specifledin the current City of Fort Collins Residential Energy Code
have been completed in this building, in accordance wb the "Air Sealing Checklist" published by the City of Fort Collins.
Person Certifying Job:
Address: 174 5 "cdjr. A-ArD 71V L
Phone: 94.Z-9611
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I/We certify that this building has met the air leakage performance threshold specified in the current Fort Collins.
Residential Energy Code, in accordance with the "Blow Door Test Procedures* published by the City of Fort Collins.
Testing contractor.
Date of test:
CFM50: Air flow through the blower door at So Pascals pressure difference (cfm)
Volume: Volume of home (cu. ft.)
ACH50: Ar change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) f Volume
The performance threshold for code compliance Is ACH50
not exceeding 5.0 solh
Person Certifying Job:
Signature: Date:
Business Firm:
Address:
Phone: