HomeMy WebLinkAbout1133 LOCHMORE PL - DISCLOSURES - 8/20/2001SENT BY: ALLIED INSULATION; 970 962 9141; AUG-20-01 12:31PM; PAGE 4/8
Fortcouins ResidentiaCEnergXcode the bu�lding & Zoning jcJepi-, of
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AMR SEALING DISCLOSURE FORM Communit:y Planning and Enviror>mental Service
281 N. College Ave., P.O. Box 580, Fort Collins, Co 80522
(Not applicable to ESTAR or ENERGY SCORE rated homes) Voice: 070 221 a760 FAX 970 224 6134
Job address:
General contractor.
Air -sealing- contractor.
InstrClctio ` -
Complete either Part A or Part B .
Fart A is to be signed by the air sealing contractor or representative of the general contractor.
Part S is to be signed by the blower door testing contractor or re:resentative of the general contractor.
The "Slower Door Test Report" or equivalent documentation must ra attached.
."ease type or print, except for the signature.
If components vary, make multiple entries to describe them.
One copy of this fort 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. Prescriptive path (Ail Sealing Checklist)
Wle certify that the air sealing requirements specified in the current Ciy of Fer. Cc!lirs 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:. ; ',.:.....;
5i nature: Date• -
Business Firm:t /1(1, r�1 �ritSclteTnn
Address: C k"
Phone: 9(a.Z-9011
B i'erformaric :pih (Blower Daor Test
-.::::::. - ..... I........ :.
Me certify that this building has met the air leakage performance threshold specified in the current Fort Collins
iesidendal Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins.
Testing contractor.
Date of test:
:.FM50: Air flow through the blower door at 5o Pascals pressure difference (cam)
Joiurne: Volume of home (cu. R)
%CH50: Air change rate per hour at 50 Pascale pressure difference
ACH60 a (CFM50 x 60) !'Volume
The performance threshold for code compliance is ACH50
not exceeding 5.0 adh
Jerson Certifying Job:
signature: Date:
Business Firm:
lddress•
Phony y :