HomeMy WebLinkAbout5715 Big Canyon Dr - Disclosures/Insulation - 01/03/2014a13D3�0�
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
sai3c2.ws rno/ea
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: 5715 e>* CA+JYON 604VJS
General contractor: K7r & 1 b }{ on>= 5
Insulation contractor: BUIL DF= INSUt_4o7rlcp
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 forth 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 / ext
Notes
Flat or vaulted ceilingswith attics above
- -
-
Ceilings with enclosed
rafter cavities
r7lAA:n
Frame walls and rim/band
joists -- to exterior
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Frame walls and rim/band
joists - to attic, garage
Framefoor- cantilever
s✓n in [.�(� a
12"
f2-4
Frame floor - over garage or
crawl space
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Slab -on -grade (0-12")
bow
b0 Ar
Crawl space walla
Basement walls
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%ouuLi nuaivion .
1/1Ne 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: %f L"
Si nature:
Date:
Business Finn: yLA-1•111 �W. r- S
Address: $yoo 13 Map ta.eocQ Ave Sui4-e- l50
Phone 302 Q8� S000