HomeMy WebLinkAbout852 E Stuart St - Disclosures/Insulation - 08/29/2017B602671
Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N. College Ave., P.O. Box 580. Fort Collins. CO 80522
b`f'0'ds — MeM Phone: 970 2216760 FAX 970 224 6134
Job address:
General contractor:
Insulation contractor:
L&L Insulation, LLC:
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 forth 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
Location
Materials
Thickness
Rated
R-value
Location
Int / ext
Notes
Flat or vaulted ceilings
with attics above
Loose Fill Fibercilass
Ceilings with enclosed
rafter cavities
Fiber ass Batts
B
" C
Frame walls and rimlband
joists - to exterior
Fiberglass Batts
Closed Cell Foam
th'
Blow -In -Blanket
Frame wails and rimlband
joists -to attic, garage
Fibe lass Batts
Closed Cell Foam
h•
Blow -In -Blanket
Frame floor - cantilever
Fiber lass Batts
Blow -In -Blanket
"
Frame floor - over garage or
crawl space
Fiberalass Batts
Blow -In -Blanket
Slab -on -grade (0-12")
Crawl space walls
Fiberqlass Batts
Vinyl Wrap
Basement walls
Fiber lass Batts
-
Vinyl Wrap (o^
Certification
I/We certify that the above -fisted 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: Kevin Miller
Business Firm: L&L Insulation LLC
Address: 401 North Link Lane Fort Collins CO 80524
Phone: 970-221-3180