HomeMy WebLinkAbout6836 TIMPAS - DISCLOSURES - 9/30/1998I Fort Collins residential energy code 7196
Air sealing disclosure form
Job address:
General contractor:
..Air sealing contractor.
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Me 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 Checklist' published by the City of Fort Collins.
Certified by: Jew- (f_M�E�P
Business firm: tAeAgA'!
Address: IIA•?jE$".aQE\jj *F�,L46 .
WEsrMit4r4 ;z, Co.- eoazo
Phone: S5014-
Date:
Signature: _
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Me certify that this building has met the air leakage performance threshold specified in the current
City of Fort Collins Residential Energy Code, in accordance with the "Blower Door Test Procedures," published
by the City of Fort Collins.
Testing contractor:
[1:: Date of test:
CFM50:
ACH50:
Certified by:
Business firm:
Address:
Air flow through the blower door at 50 Pascals pressure difference (dm)
Volume of home (cu. ft)
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
Phone:
Date:
Signature:
ter Part A or Part B.
e,signed by the air sealing contractor or representative of the general contractor.
esignecl by the blower door testing contractor or representative of the general contractor.
Door:Test Report' or equivalent documentation must be attached.
)r print, except for the signature.
is yary, make multiple entries to describe them.
this form shall be provided to the Building and Zoning Department at final inspection.
this form shall be provided to the homebuyer.
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