HomeMy WebLinkAbout6333 Carmichael St - Disclosures/Insulation - 11/09/2005Fort Collins Residential Energy Code
Insulation Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 6333 Carmichael
General Contractor: Genesee
Air Sealing Contractor: Allied Insulation
v
The building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave, P.O. Box 580, Fort Collins, CO 80522
Voice: 970 224 6134 Fax: 970 224 6134
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. Complete the information in the appropriate spaces provided.
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 the C.O.
One copy of this form must be mad available to the original home buyer.
Insulation
Location
Flat or Vaulted
Ceiling with attics
above
Ceilings with
enclosed rafter
cavities
Frame walls and
rim/band joists -to
-exterior.
Frame walls and
rim/band joists to
attic. garage
Frame floor -cantilever
Frame Floor -over
garage or crawl
Slab -on -grade (0-12
Crawl
walls
Cellulose
15x15x93 U
19xl5x93 U
19x15x93 U
13xl5x93U
19xl5x93U
19xl5x93U
19xl6x96K
11x48x40U
608 Poly to
Rated location
Thickness R-Value Ont / Ext'
10.25 38
10.59 38
10.25 30
3.5 1 15
6.0 19
6.0 19
3.5 15
6.0 19
6.0 19
�, Mt
6.0 L19
3.5 1 11
Inaccessible Ceil
Attic Blow
2x4 Walls
2x6 Walls
Riml Box Sills
2x4 Walls
2x6 Walls/Knee W
GCLA
Basement walls
Certification
I/We Certify that the above- listed insulation was installed in the building at the locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed In a000rdance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Jobs Brian S. Krueger
Sienature:
Date: 11-9-05 Phone: 970-962-9011
Business: Allied Insulation
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