HomeMy WebLinkAbout2602 Palomino Ct - Disclosures/Insulation - 08/25/2017i
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
(nWig24s 7170ige
Job address:
General contractor:
Insulation contractor:
L-cxL- utauldUUfl, LUt
Neighborhood & Building Services
281 N College Ave., P.O Box 500. Fort Colima, CO 80522
Phone: 970 2216750 FAX: 970 22A 6134
INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type or prim, 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.0
One COPY of this fore must be made available to the original home buyer.
Insulation
Location
Rat or vaulted callings
with attics above
dlateriaf s
Thickness
Rated
R-value
Location
Int / extl
Notes
I
-
,
-
^_.--
Collings with enclosed
rafter cavities
Frame walls and rim/band
Joists —to exterior
Ibe s S
Closed Cell Foam
Blow4 -Blanket
Frame walls and rimtband
Joists - to attic, garage
Fibemlass Batts
Closed Cell Foam
Blow -In -Blanket
Frame floor -tant8ever
Frame floor . over garage or
crawispace
Fiber lass Batts
Blow In -Blanket
FAbe law Raft
Blow -In -Blanket
Slab-omgrade i0.12"i
crawl space walls
Basementwalis
Fiberalass Batts
Vinyl Wra
Fiberglass Batts
Un I Wra
I
vveunc�RUp
Me aertdy that the above -rented insulation was instatled.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 Guidefinee published by the City of Fort Colima.
PersonCertifying Job: Kevin Miller
Business Firm: L& Insul ion LIC '
Address: 401 North Link Lane Fort'Collins CO 80524
- Phone: 970-221-31$0