HomeMy WebLinkAbout2709 Brush Creek Dr - Disclosures - 01/06/2002Fort Collins residential energy code 7/96
Insulation disclosure form
Job address: 201 Y21M �2LCf,IP,)4
General contractor: 0OLM _55�'_�,,,,�� ca
Insulation Contractor: (o -T--r07l
Location
Materials
Thickness
Rated
R-value
Location Notes
Flat or vaulted ceilings
with attics above
Blown fiberglass
1143
Ceilings with enclosed
rafter cavities
Fibe lass Batt
Frame walls and rimjoists
to e)derior
Fiberglass Batt
/
_
Fiberglass Batt
I �9
Frames walls and rim joists
to attic, garage
Fiber lass Batt
I k _
Frame floor -cantilever
Fiberglass BattI
Old 11?
Frame floor -over garage
or crawl s
Fiberglass Batt
_
Slab-on-grade(0-127)
Crawl space walls Vinyl Faced Insulation
--
Basement walls Vinyl Faced Insulation _
• w� .� r u iau l Ulu ewv"Istoo mwrauon was Installed in the building at the above locations (n conformance wRh current requirements c
City of Fort Collins Residential F_rwW code, and that It was Installed In the accordance with the applicable "Insulation Instaltation Guklelines"
Published by the City of Fort Collins.
Certified by: Kevin iy'i.11er
Business firm:
Address: r�-
Phone: 970 6-5110
Date: p
Signature.
This disclosure form is to be signed by the Irsu lation contractor or mpresent use of the general oontractor.
Please type or print, exoept for the sigrwhxe.
ff components wry, make multiple entries to describe them.
One copy of this form shall be prodded to the Butidbig and Zoning Department at final inspection.
One copy of this form shalt be provided to the homebuyer.