HomeMy WebLinkAbout2814 Denver Dr - Disclosures/Insulation - 04/26/2014Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N. College Ave.. P.O. Box solo, Fon Collins, CO 80522
maoI.w-uralse - -, Phone: 9702216760 FAX: 970 224 6134
Job address:
General contractor. Journey Homes, LLC and AJ Construction of Northern Colorado, LLC
Insulation contractor. Go Green Wall Systems. Inc.
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 forth must be made available to the original home buyer.
Insulation
Location
Materials
Thickness
Rated
R-value
Location
tintI ext
Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
ratter cavities
Frame welt and riMDand
joists - to exterior
Frame walls and elm/band
Joists - to attic, garage
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Frame floor - eantiiavar
7T,
Frame floor - over garage or
Drawl apace
pit,
Stab -on -grade (0.12-)
Crawl space walls
Basement walls
C�,n
- ''j'
t
1
uerinicaluon
[Me 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 thelgznNs
ulation Guidelines" published by the City of Fort Collins.
Person Certifying Job: �yJ:�� �S>O_P> ��p� — QCO-N F- ^
Business -Firm: Go Green Wall Systems, Inc.
Address: PO Box 487, Windsor CO 80550
970493-1161