HomeMy WebLinkAbout816 Brookedge Dr - Disclosures/Insulation - 08/09/20114OPftbmtn.aT
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Residential Energy Code Insulation Disclosure Form
Job Site Address: 1ST/a e-- �. `i IRS . _ -- _ -- _ Permit # B -
General Contractor. SWOW_ cry-* kpq!.s - _ -
Mechanical Contractor: &)e+r &r.yn.'cg
Insttuctionst
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor. Please type of print
legibly, except -for the signature.
If there are multiple systems serving any function, make multiple entries to describe them,.
One copy of this form must be provided to the Building Department prior to C.O.
One copy of this form must be provided to the original home buyer.
Location
Material(s)
Thickness
Rated
Location
Notes
-
R-Value
InVExt
Flat or vaulted ceilings
N/A
with attics above
B
_ _
1 "}_13u
Ceiling with enclosed
N/A
rafter cavities
Frame walls &
rim/band joists - to
exterior
14
R-1
N/A
-
Frame walls &
rim/band joists _ to
attic, garage
'
'�_
N/A
Frame floor -
N/A
cantilever
Frame floor - over
N/A
garage orcarwt space
Slab -on -grade (0-1:r)
Crawl space walls
Basement walls
Certification
I/We certify that the above -listed insulation. was installed in the building at the above locations in conformance with the
requirements of Fort Collins Residential Energy Code and that it was installed in accordance with the "Insulation Guidelines"
published by the City of Fort. Collins.
Person CertifyingJ``o�'b:,-�'/'h4.__5aiAfVlJZ
Business Firm: 44?e _ l7ema.5 - -- - - Phone: 794 - 3 Q 113 33-
225� K J� / - rr�
Address: o��W �� 115r Jor, h4'6 ►7�rfS►r�`,