HomeMy WebLinkAbout2123 Sandbur Dr - Disclosures/Insulation - 11/18/2014Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
Job address: _- a 23 S CxAj b y r
General contractor: Belllsim0 -
Insulation contractor: Sutherlands Insulation
INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor of 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
Material s)
Thickness
Rated
R-value
Location
lint / ext
Notes
edceilinga
Flat or vaulted
with attics above
Cellinga with enclosed
rafter Cavities
R38x24K
' `
-� ,FYa q�3
k
�i=z-`s rE -'
r �
�.3-'. �¢-
qq
�^ ��� N� -- _ -
-Ext
-
Y
��tie
a ` s�
Ur'35MOR2
y
� 6srVkRf+ 5s�n`.
ults_s1]d edaina
I erg ass ow
14 1/2"
8
Flats
Frame walls and riMband
jOlats — IO exterior
21 x15 with 1
5 1/2"
� 21
walls and Rim
3 1/2"
Knee walls
Frame walla and rimrband
joists - to attic, garage
x wi p0 y
3 1 /2
15
Knee walls
R11x15UPnEw
walls
Frame floor - cantilever
M '�S a�+ t HF ps
ter rv1,,il,,
W ,ter c -
sagap _ooq
Framefloor- overgarageor
Crawl Space
R3 x16K�E
10 1/4
o floors
Slabon-grade (0-12")
crawl apace walla
Basement walls
Certification
INVe 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: �Yrayr S /C�K?9e� Data:
Business Finn: Sutherlands Insulation
Address: 2100 E. Prospect Rd, Ft Collins Colorado
Phone: (970) 286-5806