HomeMy WebLinkAbout2426 Marshfield Ln - Disclosures/Insulation - 10/09/2014Fort'Collins Residential Energy Code Neighborhood & Suiiding Services
INSULATION DISCLOSURE FORM', :` 281 N. college Ave P.O. Box 580, Fort Collins, co 80622
1nsdi5t2.z13-7i1orss - - Phone: 970 221 6760 FAK 9702 4 6134 -
Job address
General contractor:` Jpumey Homes, LLCand J&J 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 varyrm
, make multiple entries to describe them.
One copy of this fo`must tie provided to the Building -and Zoning Department prior to the C.O.
One copy :of this form must bemade available to the original home buyer, .
Insulatlon .
Rated
Loeatlon
Location.
Material s
Thickness
R value :
Intl ekt
Notes
Flat or vaulted ceilings
f
withattics above `.
(j
2'e S
Y`'r'fr,'
-
Ceilings with enclosed.,rafter
a �.z ��r>i
reMrwuw�nrwis�e:rw�
cavities
y ,
l
§�
Frame walls and rimlti_and
'C'1 t0
.( rr,s
I'VT
w'
joists -toexterior, .'-
'tAfit= o �i.-....��
ri
_
.�f„
Frame wallsand rimlb
ZJ/7 It
l
joists to attic, garage.
-
t
;,'� ys-�•���
- ..
Frame floor -cantilever
Frame floor - over garage or
crawl space .
y
- -
Slab -on- grade (0-ir') __ ..
'. _..... ...
:..
.. ...
,..
Crawlspaeewalls..
Basementwalla
certmeation ,
11.�* certify. that the above -listed insulation was installed in the building.at the above locations in conformance with'the.currentroulremenls of the
FortCollins Residential EnergyCode, and that it was instal�un"wdance with the "I sulat on Guidelines'` published by the Cityof Fort Collins,
Person Certifying Job:�•
- _ Wale- -
Busines Firm: Go Green Wall Systems, Inc.
Address: PO Box 487, Windsor CO 80550
Phone: 970-193-1161 _