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HomeMy WebLinkAbout1320 NASSAU WAY - DISCLOSURES - 12/3/2002Crt Collins Residential Energy Code the building &zoning dell of 04 Al- SEALING DISCLOSURE FORM Community Planning and Environmental Service 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 (Not appricable to E-STAR or ENERGY SCOPE rated homes) Voice: 970 221 6760 FAX 970 224 6134 Job address: 13 Z© 8j9&& k4 44 AV General contractor. ,f RTr•uMnNn AMFRTr'AN unMEG Air sealing contractor. R.G. Insulation Co. j j is S'ssta:'i`r':'i`f::.::::::`: rlstnicit 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. A Prescrrptrve path (Air Sealing.Checklist} I/We certify that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code have been completed in this building, in accordance with the "Air Sealing Checkfist" published by the City of Fort Collins. .. B;.:"Reerforma:nce path (Blower Door:_Test) ...................:.......................:.............. . WVe 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: ACH50: Person Certifying Job: Air flow through the blower door at 50 Pasta's pressure difference (cfm) Volume of home (cu. fQ Air change rate per hour at 50 Pascals pressure difference ACii50 = (CFM50 x 60) / Volume The performance threshold for code compliance is ACH50 not exceeding 5.0 ac/h Signature: Date: Business Firm: Address: Phone: