HomeMy WebLinkAbout927 Ridge Runner Dr - Disclosures/Insulation - 03/08/2013Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
inc,%; ,,rs - ]1;6 n9
Job address:
ev
the building & zoning dept. or
Community Planning and. Environrnontal Ser-Aces.
281 N. Collego .Ave_ P.O. Boa 580. Fort Collins, CO.80522
Vaico; 970.221 6760 FAX: .970224 Gt J4
General contractor: fi22 plo, ,o
Insulation contractor:
INSTRUCTIONS _
This disclosure form is to be signed by ,he insulation contractor or representative of the general contractor.
Ple2se type or pant, except for the signature. Complete the information in the appropriate spaces provided
If components vary make mut pie entries to describe them.
One copy of this form must be proviCeC to the Building and Zoning Department prior to the C.O.
One ccpy of this form must be made available to the original home buyer,
Insulation
Location _
Fla; or vaulted ccilin s
S.
W^:1 anus ahawe
�� Material(s)
/ �
l- sir �J'iT J C4J
.L ,< <; air
Thickness
-]
_ �r ,2. , f
Rated
R--value
,/L,� rj
Location
I (Intl ext)
��.'Y3fi 4''Y wt it'd,•.
l •,.t +, `k
t'
rr� ih•-s "J'I
i
✓ Lt_ _
R11,
,r 1?
r t1.
I Notes
-— -
_-��,ax}
Ceiling, »ith enclo.ed
cartel ca,nies
Frame waits and rim/band
jaIS15-t0 f[tefYar
_ ''
,i %�
//ter✓
-r---
f
Fame Walls acid nnU•Jand
Jis:S •• to attic, garage
1 hS•, �I bytrC i
V
Frame float - cantilever
Frame floor .over garage or I
cra"l stucc
11 !�'�y� �
�
, /� �
r �•
t
Gfa.i Space v,alr% �
(—
1
04sement walls I
/�•; �')aSS Ifff �.C�-
_Qi �(
'�.
.
Certification
VA',ceirify that the alcove-listr.c insulation %ns lnstaPed in the building at the above loeatjO,s. in conformance .with the rren: requiremerte; of 16e
• o„ CcOins • Lesicurtial Energy CodP, and that it .ns installed in atcardance vdth the "Insulation Guidelines' pucfishexl, ay, the Coy of Fort Coliirs.
Petson CertilVind Job /-
nature:
Date:
ius)ness Firm: 54l�-`"�_[.u:
Address: _�•iYs
D___Phunc:+ .%'.IO