HomeMy WebLinkAbout2107 Blackbird Dr - Disclosures/Insulation - 11/12/2014Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N. Coilege Ave., P.O. Box 680. Fort Collins, CO B0522
im4ac7.xls-7/1" Phone.0702216760 FAx:9702246134
Job address: 7 10- 1 U ncg bir d N
General contractor: Bellisir 10 --
insulation contractor. Sutherlands Insulation
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.
Location
Materials
Thickness
Rated
R-value
Location
int/e
Notes
Flat or vaulted ceilings
with atum above
R38x24K
e t ", { ;kl".
Vaults and edging —
—Flats
t q° , �, j1
�S ; ,
r
4
1° t
'
j„ , r. 11�'
--
va
I ergass ow
141/2"
38
Ceilings with enclosed
raftercavitles
Frae walls end rimlband
m
joists — to exterior
R21x 5 with of
5 1/2"
21
Ext walls and Rim
3 1/2"
Knee walls
Frame walls and dadhand
joists-w attic. garage
x cal po y
3 1 /2"
15
Knee walls
R11xl5U
Paa walls
Paine floor - cantilever
Frame floor -over garage or
cra dspace
R30x16K
101/4
-30
Cold floors
stabongmde (042'
Crawl space walls
Basement walls
Certification
NMe 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: Brian S. Krueger
Signature: &-ia P S ICPuggZY Date: 11-12-2014
Business Firm: Sutherlandslnsulation
Address: 2100 E. Prospect Rd, Ft Collins Colorado
Phone: (970) 286-5806