HomeMy WebLinkAbout915 GLENLOCH DR - DISCLOSURES - 3/6/2002WMENEEMENNOW
,Fort Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
(Not applicable to E-STAR or ENERGY,SCORE rated homes)
Job address:
1S
General contractor. 4 r.,NM on 1
Air sealing contractor: A liked 2"nso6 hor`
the building & zoning dept. of
Community Planning and Environmental Service
291 K Colege Ave., P.O. Box 5110. Fort Collins, CO 90522
Voke: 970 2216760 FAX 970 224 0134
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.
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IMle certify that the air sealing requirements specified in the current City of Fan Collins Residential Energy Code
have been completed in this building, in accordance with the 'Air Sealing CheckrW published by the City of Fort Collins.
Person Certlfying Job:
si
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Business Firm: 411,eCt 7'nsu ls-io&
Address: Uz„e 4.ld
Phone: 9(62- 401 r
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tlWe 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.
Date of test
CFM50:
Volume:
Air flow through the blower door aR 50 Pascals pressure difference (dm)
Volume of home (cu. R)
ACH50Q Air change rate per hour at 50 Pascals praasurs difference
ACH50 . (CFM50 x 60) / Volume
The performanra threshold for code compliance Is ACH30
not exceeding 5.0 ac/h
Person CertNying Job: _
signature: Date;
Business Firm:
Address;
Phone: