HomeMy WebLinkAbout2821 Breton Way - Disclosures/Insulation - 01/26/2015Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
insdisc2.xls -- 7/10/98 Phone: 970 221 6760 FAX: 970 224 6134
Job address:
General contractor:
Insulation contractor:
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
Rated Location
Location Material(s) Thickness R-value (Int / ext) Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists -- to exterior
Frame walls and rim/band
joists -- to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
Slab-on-grade (0-12")
Crawl space walls
Basement walls
Certification
I/We 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:
Signature: Date:
Business Firm:
Address:
Phone:
2821 Breton Way
Savant
Sutherlands Insulation
Brian S. Krueger
1-26-2015
970-286-5806
Sutherlands Insulation
2100 E. Prospect Rd Ft Collins Colorado 80525
R38x34Kraft faced batts 12.25 38 Edging
Insulsafe 14.50 38 Flats
R19x15Unfaced with poly 5.50 19 Exterior walls
2" foam to rim for air seal nominal 2" 15 Rim joist/box sills
R19Unfaced 5.5 19 Rim Joist/box sills
R19x15Unfaced with poly 5.5 19 Exterior common wall
2" foam to rim for air seal nominal 2" 15 Rim Joist/box sills
R19 Unfaced 5.5 19 Rim Joist/box sills
R19x48Unfaced 5.5 19 Walls
6mil poly to walls and floor full seal
R13x15Unfaced 3.5 13