HomeMy WebLinkAbout2721 Treasure Cv - Disclosures/Insulation - 11/15/2017G
Fort of
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GMIM 14 DawdoarnL tt a N.'igtWarivwcl S,nws
281 N Wle je Ave P.O aux SRO
Fat 0a!b Y oo 80522
Ptimie WD-its-274o R,, 97U-224-613M1
rnwvlapvcom
�] Residential Energy Code Insulation Disclosure Form
Job Site Address / '�,�(t��t[ f✓y j Permit ft B 171
General Contractort,n�t
Mechanical Contractor:
Instructions:
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor
legibly, except for the signature Please type of pant
If there are multiple systems serving any function, make multiple entries to describe them.
Ono copy of tthls form must be provided to the Budding Department prior to C.O.
One copy of this form must be provided to the original home buyer.
Location
Material(s)
Thickness
Rated
Location
Nc
r vaulted ceilings
fwith
_
�JAD",itAS i
2 "
R-Value
s
�' S
lnt/Ext
i3.�fs
tiles aboveA.6tot
G.L.tis
*Aq
2•y9NlAig
with enclosed
rafter cavities
N/A
Frame walls &
nnt/band joists - to
exterior _
�z4Gf&4tnss
S /z „
�. Z /
N/A
Frame walls &
nm/band joists - to
attic, garage
/
I� f2
s•
N/A
-
7
Zi
O ��
Frame floor -
cantilever
C�1_4e
..
/I-3a
N/A__
Frame Floor- over
garage or carvvl spa(.e
/ hie, 61,4<.r-
N/A
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
requirements of Fort Collins Residential Energy Code and that it was installed in accordance with the "Insulation Gurdelines"
published by the City
Person Certifying Job�L3,aat� fKev w
Business Firm -30)UC?A—d �— Phone' 9,7o _Z26-IOdp
Address
Signature
��J-" — - -- _
Date // /S /