HomeMy WebLinkAbout3727 Big Dipper Dr - Disclosures/Insulation - 05/04/2005Fort Collins Residential Energy Code
Insulation Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
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Job Address: 3727 U e Dipper
General Contractor: Village Homes
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
38
Flat Ceilin /lnaccessable
Ceiling with attics
Cellulose
10.27
38
Attic Blow
above
30x24x48K
10.25
30
Ed in /Cathedral
Ceilings with
30x24x48K
10.25
30
enclosed rafter
38x24x48K
12
38
If framina will allow
cavities
Frame walls and
Cellulose
5.5
19
2x6 Walls
rim/band joists -to
Cellulose
3.5
13.7
2x4 Walls
exterior.
19x16x96 U
5.5
19
Rim/ Box Sills
Frame walls and
19x16x96 U
5.5
19
Rim/Box Sills
rim/band joists to
Cellulose
5.5
19
2x6 Walls
attic, garage
Cellulose
5.5
19
2x4 Walls
19xl 6x96U
5.5
19
Cellulose
10-12
30-38
If open to interior
Frame floor -cantilever
Frame Floor -over
Cellulose
10
30
GCLA
garage or crawl
19x15x93K
5.5
19
Blocking edges
space
Slab -on -grade (0-12")
19x48U
6.0
19
Crawl space walls
R11 W/FS Vinyl
3.5
11
Basement walls
Certification
Me 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: S. Krueger
Signature:
Date: 5-4-05
Business: Allied Insulation -North Phone: 970-962-9011