HomeMy WebLinkAbout3010 Indigo Cir S - Disclosures/Insulation - 01/08/1999rSANdY- ZZy_. 613y
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Fort Collins residential energy code 7196
Insulation disclosure form
Job address:3010
General contractor. TIE2PLAM Hacs
Insulation contractor: GALE INS=TTcNV
Insulation
Location
Fiat or vaulted ceilings
with attics above
ceilings with enc�oseci
rallereavities
Frame walls and r)m/pand
joists — 10 exterior
Materials
Thickness
Rated
Rvalue
location
Int/ext Notes
12
38
(N'�
3.5
13
i
Frame w>y* and Irfrilaand
joists — to attic, enrage
Frame floor. cantilever
Frame floor. ovef garage or
crawl space
Slabcn.grade (0-12^I
Crawl space wells
basement waits
VRM
3.5
11
Certification
nwe :Srity that ine above -fisted Mtulation was Inpased In fhe bull4Uq at the above leesddna In tonfermarroe viM Me
currant requirem[nlr of the ch'y of fan Collins Residential2nergy Coda and Net x was Installed In accortance:with
the 11POliceble'Irtsu1111011 Installs .Um Guidelines pubeshat by are City Of Fort Opens.
Certified by: JIM YCUM Phone: 970-224-1539.
0uMness firrn: C>:1LE nisgu ATICN Date:
Address: 2016 E. LIIKIZIIN AVE. ,UNIT A Signature: .-
Instructions
This disclosure f rm is to be signed eY the Insulation conhaeter or rapreetmiltive of the general eontnttor.
Oasis rype or Print. Sxcepi for the Signature.
11 componards very, main multiple enines to desetlba them,
One copy of this form %hag be provided to the alluding and ZONAP Deportment at final int
One c*0Y of this torn *hen be provided to the hmolbWW, pectbn,