HomeMy WebLinkAbout2869 Exmoor Ln - Disclosures/Insulation - 04/26/2014Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insd3Q.45 - 7110,aa
Job address:
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 2216760 FAX: 970 224 6134
General contractor Journey Homes, LLC and JW 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 form must be made available to the original home buyer.
Insulation
Location
Materials
Thickness
Rated
R-valuelint
Location
1 ext
Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim1band
joists -to exteriorE
Frame walls and rimlband
joists - to attic, garage
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ta
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Frame floor- cantileverUM=UF:Q
Frame moor - over garage or
crawl space
11
1-Z
_
Slab -on -grade (0.1Y')
Crawl space walls
Basement walls
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t
t
Certification
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 the "ksulation Guidelines" published by the City of Fort Collins.
Person Certifying Job:
Buslnes� Firm: Go Green Wall Systems, Inc.
PO Box 487, Windsor CO 80550
Phone: 970-493-1161