HomeMy WebLinkAbout5621 Big Canyon Dr - Disclosures/Insulation - 11/14/2013Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insdisc2.ws -- 7110/98
Job address:
General contractor:
insulation contractor:
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 2216760 FAX: 970 224 6134
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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
Materials
Thickness
Rated
R-value
Location
lint / ex t
Notes
Flat or vaulted ceilings
with attics above
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-
-
Ceilings with enclosed
rafter cavities
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Frame walla and rim/band
joists -- to exterior
r/2
Frame walls and rim/band
joists -- to attic, garage
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-6'/2
Frame floor - cantilever
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12
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Frame floor - over garage orcrawl space
Slab -on -grade (0-12")
bow
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Crawl space walls
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Basement walls
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INVe 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.
Address: $Zoo I-MapltwexQ Are /So
(Vkro4,\y;1)31aQ C_ SOM Phone 303 Q8� 5000