HomeMy WebLinkAbout400 Jackson St - Disclosures/Insulation - 12/16/201012/16/2010 19:04 FAX 9704614592 PRO INSULATION
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PRO Insulation Residential
Insulation Disclosure Form
Job Address: 400 Jackson
General Contractor: Archer Homes
Permit Number: 80903871
Insulation
Location Materials Thickness Rated R-value location Notes
Flat or Vaulted ceilings
18lown fiberglass
19.5"
1 R-60
Attic
with attic above
ceilings with enclosed
I Fiberglass batts
16"
R-60
lAttic
rafter cavities
framed walls and rim
Urethane Foam
1"
1 6.5
wall
Itotal wall R-value is R-24.5
joist to exterior
Blown Fiberglass
4.5"
18
wall
Framed walls and rim
Urethane Foam
1"
6.5
wall
total wall R-value Is R-24.5
joist to attic and garage IBlown
Fiberglass
4.5"
18
wall
Framed floor- cantilever Ifiberglass batts 12" 1 38 floor
I Framed floor/ over garage Ifiberglass batts 112" 1 381floor
or crawl space
Slab on Grade N/A
Crawl space walls N/A
Basement walls fiberglass batts 3.5" 13 Ifurring
Certification
We certify that the above listed insulation was Installed in the building at the above locations in conformance with the current
requirements of the City Of Fort Collins residential Energy Code and were installed with applicable "Insulation Installation Guidelines"
published by the City Of Fort Collins
Certified by: Todd Robertson Phone: 970-461-4570
Insulation Firm: PRO Insulation Date:
Address: 1429 6th Ave Signature:
Greeley, Co 90631
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
If components vary, make multiple entries to describe them
One copy of this form shall be provided to the Building and Zoning Department at final inspection
One copy of this form shall be provided to the homebuyer