HomeMy WebLinkAbout4608 Chokecherry Trl - Disclosures/Insulation - 03/05/2015I �y
Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
insdjsczx/is-7i�fi/11o198 Phone: 970 221 6760 FAX: 970 224 6134
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General contractor:
Insulation contractor:
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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.
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Rated
Location
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Location
Material(s)
Thickness
R-value
(Int / ext)
Notes
Flat or vaulted ceilings
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with attics above
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Ceilings with enclosed
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rafter cavities
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Frame walls and rim/band
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joists -- to exterior
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F`Y 9—M
Frame walls and rim/band
- �F
/ /.`,PF�d /
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Joists -- to attic, garage
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Frame floor- cantilever
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Frame floor- over garage or
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crawl space
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Slab -on -grade (0-12")
Crawl space walls
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Basement walls
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 "Insulation Guidelines" published by the City of Fort Collins.
Phone: f/<� Z23 —70576