HomeMy WebLinkAbout3626 Big Dipper Dr - Disclosures/Insulation - 01/03/2006Fort Collins Residential Energy Code
Insulation Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 3626 Big Dipper
General Contractor: Village Homes
Air Sealing Contractor: Allied Insulation
Instructions
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
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
Materials
Thickness
Rated
R-Value
Location
Int / Ext
Notes
Flat Ceilin /lnaccessable
Attic Blow
Flat or Vaulted
Ceiling with attics
38x24x48K
Cellulose
12
10.27
38
38
above
Ceilings with
30x24x48K
30x24x48K
10.25
10.25
30
30
Edging/Cathedral
enclosed rafter
38x24x48K
12
38
If framing will allow
cavities
Frame walls and
Cellulose
5.5
19
2x6 Walls
rim/band joists -to
Cellulose
3.5
13.7
2x4 Walls
exterior.
19x16x96 U
5.5
19
Rim/ Box Sills
Frame walls and
rim/band joists to
attic, garage
19x16x96 U
Cellulose
Cellulose/13x15x93U
5.5
5.5
5.5/3.5
19
19
19/13
Rim/Box Sills
2x6 Walls
2x4 Walls /furred ara a wall
19xl 6x96U
5.5
19
Frame floor
Cellulose
10-12
30-38
If open to interior
-cantilever
Frame Floor -over
Cellulose
10
30
GCLA
garage or crawl
space
19x15x93K
19x24x48K
5.5
5.5
19
19
Blockin ed es
Furred ceiling
Slab -on -grade (0-1211)
19x48U
6.0
19
Crawl
space walls
Basement walls
rae.+:s...-61
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 accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job: Brian S. Krueger
Signature: _
Date: 1-03-06
Business: Allied Insulation -North Phone: 970-962-9011