HomeMy WebLinkAbout5651 Kadenwood Dr - Disclosures/Insulation - 04/14/2014Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N. College Ave., P.O. Box 580, Fort Collin', CO 80522
tmdiv2A& _ 7110M Phone: 970 221 6760 FAX: 970 224 6134
Job address: 66 Sl l,�606NG OQQ
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General contractor: (� 6-91 TA G(J 1 6 AI gs
Insulation contractor: $UltU6 LtztStU` tAT1QiJ
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.
Insulation
Rated
Location
Location
Materials
Thickness
R-value
(int/ext)
Notes
Flat or vaulted ceilings
Sf 0tV F0 A0
with attic above
,Ceilings with enclosed
rafter cavities
3 syl
1
a r
Frame walls and rim/bantlP�`
joists - to exterior
.t
5 A�
tjt
5rj r,\ fry a,
Frame walls and rim/band
- C
joists - to Owe, garage
Frame floor - cantilever
i. °^-°-'- it
"oiilt innN•'
Frame floor-overgarageorSAW-'�
crawl space
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Slab -on -grade (0.12")
.S
-C - "U
6
Crawl space walls
(
-7
Basement walls
11
Certification
UWe 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:
fr ��(/+ 1 VADVIIIIIIII 0-