HomeMy WebLinkAbout203 Lyfka St - Miscellaneous - 08/22/2000 (2)Fort Collins residential energy code 7/96
insulation disclosure form
Job address: Z b 3 Y�= �� ✓f 5�
General contractor: US HOME
insulation Contractor: United Building Center
Insulation
Rated
Location
Materials
Thickness
IR-value
Location Notes
Flat or vaulted ceilings
Blown fiberglass
14"
38
with attics above
Ceilings with enclosed
rafter cavities
Fiberglass Batt
9 1 /2"
30
Frame walls and rim joists Spray -in fiberglass
to exterior Spray -in fiberglass
2X4
13
2X6
19
Frames walls and rim joists
to attic, garage
Fibe lass Batt
2X4
13
2X6
19
Framefloor-cantilever
IFiberglass Batt
9 1/2" T 30
Frame floor -over garage
or crawl space
Fiberglass Batt
6 1/4"
19
crawl space walls Vinyl Faced Insulation 3 1/2" 11
Basement walls Vinyl Faced Insulation
Cetiification
We certify that the above -listed insulation was installed in the building at the above locations in conformance with the current
requirements of the City of Fort Collins Residential Energy code, and that it was installed in accordance with the applicable "Insulation Installation C.
published by the City of Fort Collins.
Certified -by: Kevin -Miller Phone: 1 73)-226 51 ;0
Business firm: United Building Center Date:
Address: 224 W. Harmony Rd. Signature.
Instructions:
This disclosure form is to be signed by the Insulation contractor or representative of the general contractor.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.