HomeMy WebLinkAbout5721 Northern Lights Dr - Disclosures/Insulation - 03/13/2013Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insdiu2.ds - 7110/98
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
Job address: 5T7-1 Nor-crn L.�145, D�.t„�
General contractor: K*YL ki b H o?&e S
Insulation contractor: guILL).E(,5 IMSuLA,-f'Iot(
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 made available to the original home buyer.
Insulation
Location
II Materia(s)
Thickness
I Rated
R-value
I Location
(Int / ext)
Notes
Flat or vaulted ceilings
with attics above
b1s✓n ; n G.c,(v pg�_
�c •`
R - 3 g
.
.
..
Ceilings with enclosed
rafter cavities
tbcr IaSS ba 3
8'
1
r1 /nS rA
Frame walls and rim/band
joists -- to exterior
vr✓n •C, (� s
51/p"
{L_ZO
Frame walls and rim/band
joists -- to attic, garage
Ie I..v� ; (�, t, b�C,
5 �/2 ••
_
Frame floor • cantilever
s ✓ n ; n [{ Ito o
Frame floor - over garage or
crawl space
SIe�... Le-(�� �n
12
- 4
Slabon-grade (0-12" )
Crawl space wallsASS
f�Z•r
blAnKt
3 "
Basement walls
lus bla�tcc
I/We certify that the above -listed insulation was installed in the building at the above 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:
Signature:
cr
3-13-
Business Firm: /n`Y�N11 I Ion�E S
Address: 87-00 E MaploWeoA Ave Sui 15D
�IaA P_ " C_b 80)11 Phone 303 48fo 5000