HomeMy WebLinkAbout1157 Picard Ln - Disclosures/Insulation - 01/25/2005FW_Collins Residential Energy Code
Insulation Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 1157 Picard /-M
General Contractor: PLS
Air Sealing Contractor: Allied Insulation
Instructions
The building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave, P.O. Box 580, Fort Collins, CO 80522
Voice: 970 224 6134 Fax: 970 224 6134
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 mad available to the original home buyer.
Insulation
Location
Materials
Thickness
Rated
R-Value
Location
Int / Ext
Notes
Flat or Vaulted
38x24x48K
12.75
38
Inaccessable
Ceiling with attics
30x24x48K
10.25
30
Edges of Ceiling
above
Cellulose
10.27
38
Ceilings with
enclosed rafter
cavities
Frame walls and
13xl5x93K
3.5
13
2x4 Walls
rim/band joists -to
19x15x93K
6.0
19
2x6 Walls.
exterior.
19xl5x93U
6.0
19
Box Sills
Frame walls and
19x15x93 U
6.0
19
2x6
rim/band joists to
19x24x48K
6.0
19
Knee Walls
attic, garage
19x15x93 U
6.0
19
Rim
30x16x48K
10.25
30
Frame floor -cantilever
Frame Floor -over
30x16x48K
10.25
30
GCLA
garage or crawl
space
Slab -on -grade (0-12")
Crawl space walls
Basement walls
Certification
INVe Certify that the above- listed insulation was installed in the building at the 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: Brian
Sienature:
Date: 4-05-05
Business: Allied Insulation Phone: 970-962-9011