HomeMy WebLinkAbout4921 Caravelle Dr - Disclosures - 07/14/2004 (2)Insulation contractor.
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
Rated Location
Location Material(s) Thickness R-value Qnt / ext
Flat or vaulted ceilings
with attics above ipm
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists -to exterior
0 6-A,16it
$
f1 Y1 Y9''5t4
'!
13 Yi 05
Frame walls and rim/band
joists - to attic, garage
! Y t
I AZ
1H S i/L
(, 2
1
rZ 164K
z
Frame floor - cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-12")
Crawl space walls
Basement walls I) -eT1%'zsh'`131t I Sn I i
It ar'1S'.1.4S14 I 1b` Z 1 1
Notes
it E
Certification
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 Certi ob• AAA-- V ram✓"
Signature:1�ga Date:
Business Firm: t..^^4(1 iD ] t t.rA'ior�
Address: I V
Phone:
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