HomeMy WebLinkAbout802 BLONDEL ST - DISCLOSURES - 12/12/2007 (10)a
s Residential Energy Code the building & zoning dept. of
NG DISCLOSURE FORM Community Planning and Environmental Service
-Ina" 281 N. College Ave., P.O. Box 580, Fat Collins, CO 80522
(Not applicable to E-STAR or ENERGY SCORE rated homes) Voice: 970 2216760 FAX 970 224 6134
Job address:
General contractor.
541
Air sealing contractor, Sc PA (31.,y-
INSTRUCTIONS
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.
IMIe certify that the air sealing requirements specked 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:
Signature: _Date-
Business Firm:
Address:
Phone:
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 City of Fort Collins.
Testing contractor. ry\ L%k r�i r
Date of test: 1 2_ �- O
CFM50: LI-7 50 Air flow through the glower door at 5o Pascals pressure ditrw= (cfrn)
Volume: R S 3o Volume of home (cu. f .)
ACH50: `� . j 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
Person Certifying Jo iv\C
Signature: Date:
Business Firm: Szi�1 j xc 11 LL C .
Address. 1 cl % �o Or
W 4.w CO �u 53C� Phone 70 2- `7 910