HomeMy WebLinkAbout2427 Strawfork Dr - Disclosures/Insulation - 05/24/2010Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insdisQ.xls — 7/10/98
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
Job address: A_W �OC
General contractor: j��R�->� Ccs l c� nS T r c-L�iD )'l
Insulation contractor: /(/o Lf� �n� �. ICJ iOt1
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.
Inculat�nn
I
Rated
I
Location
I
Location
I Material(s) I
Thickness
R-value
(Int / ext)
Notes
Flat or vaulted ceilings
f, 6754 k ba4
I
130
with attics above;
't?.
s
t✓
Ceilings with enclosed
rafter cavities
MM
�il+
Fi
' M
V," �5
Frame walls and rim/band
joists -- to exterior
ol
CC'Y II EGG,
.
f
f � 4
?tip
Frame walls and rim/band
blow
i¢�R 11
joists -- to attic, garage
'
Frame floor -cantilevere4
3H1
Frame floor - over garage or
S
crawl spaceF
_ Fljli'cx.
Slab -on -grade (0-12")
Crawl space walls
Basement walls
sr;j 11, ►
I
,.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 Certifying Job: Sr&.n
nature:
Business Firm:S�i'c�r�
Address: PO Box % •76>
Date: �1Z / //0
T��C4 /- ,11. nS feq P,-3O S 0 -*- Phone: (T170) e0`61- / 1i"