HomeMy WebLinkAbout5744 Big Canyon Dr - Disclosures/Insulation - 08/19/2016Fort 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: 15744 Big Canyon Drive
General contractor: CalAtlantic Homes
Insulation contractor: IBuilders 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.
Insulation
Rated Location
Location I Material(s) I Thickness I R-value I (Int / ext) I Notes
Flat or vaulted ceilings
with attics above BLOWN -FIBERGLASS 12.75" R-38
�0
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
R-38
.'
BATTS-FIBERGLASS
12"
0
R-15
CLOSED CELL SPRAY FOAM
2.5"
0
SPIDER FIBERGLASS
5,5"
R-23
BATTS-FIBERGLASS
3.5"
R-13
0
00
R-50
0
.
BLOWN FIBERGLASS
12"
0
R-50
:: ...:::::::
BLOWN FIBERGLASS
12"
DOW BLUE FOAM
R-10
I II I1 I
Basement walls VINYL DRAPE (FIBERGLASS) 3.5" R-11
Certification on:,.: .......:....:...:..:.....
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.
Person Certifving,Jdb: JA),GARDINER
Signature: ice/"�� L �/ Date: 8/19/2016
Business Flor. WATLANTIC HOMES
Addres . 6161 S. SYRACUSE WAY, SUITE 200
GREENWOOD VILLAGE, CO 80111 Phone: 303-486-5000