HomeMy WebLinkAbout2145 FRIAR TUCK CT - DISCLOSURES - 5/29/2003Fort•Collins Residential Energy Code
AIR SEALING DISCLOSURE FORM
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',o• applicable to E•STAR or ENERGY SCORE rated homes)
.:ob address:
General contractor: Aj
ir sealing contractor:
N
the building & zoning dept, or
Community Planning and Environmenta; Serr; ice
281 N, College Ave., P.O Box 580, Fort Collins.
Voice: 970 221 6760 FAX 970 224 6134
AJ L_
CT
Instructions
Complete either Part A or Pan B .
?zr A is to be signed by the air sealing contractor or representative of the general contractor,
Par. B is to be signed by the blower door testing contractor or representative of the general contractor.
Tr.e "B'ower Door Test Repon" or equivalent documentation must be attached.
-'ease type or print, except for the signature.
f ccmponents vary, make multiple entries to describe them,
Cne 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. Prescriptive path (Air Sealing Checklist)
.'; e certfy that the air sealing requirements specified in the current City of Fort Collins Residential Energy Coee
rave been completed in this building, inaccordancewith the "Air Sealing Checklist' published by the City of Fon Collins.
Person Certifryir�q Job: _ (p A,�,'(i KA-C1r'/-2,
-icnature:
Business Firm:
:dcress: 0�i
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B. Performance path (Blower Door Test)
Phone-
e certify that this building has met the air leakage performance threshold specified in the current Fort Collins
^es�ent;al Energy Code, in accordance with the "Blower Door Test Procedures" published by the City of Fort Collins
Testing contractor:
mate of test:
CF.Y.50:
`.'ooume:
,CH50:
Person Certifying Job:
Signature:
Bus ness Firm:
address:
Air flow through the blower door at 50 Pascals pressure e;tfererce rc
Volume of home (cu. It.)
Air change rate per hour at 50 Pascals pressure Cliffelence
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5.o aclh
Date:
Phone: