HomeMy WebLinkAbout1033 Linden Gate Ct - Disclosures/Insulation - 03/09/2017Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
Insdisc2.xls -. 7110/98
Job address: 1033 Linden [gate Ct
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
General contractor: Bluestone Homes of Colorado, LLC
Insulation contractor: Fossil Creek D
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
Materials
Thickness
R-value
Int I ext
Notes
Flat or vaulted ceilings
own Cellulose
with attics above-
t x�
Collings with enclosed
Foberalass Batt
15.5
49
rafter cavities
c.
'
Frame walls and rim/band
,,
20t
joists -- to exteriorRim-Foam"
ti 1
'���'•"''��''4'`••`
Frame walls and rim/band
Blown Cellulose
5.5"
20
joists — to attic, garage
- -'
Blown Cellulose
14"
49
Framefloor-cantilever
�1 ' :.
Frame floor -over garage or
Blown Cellulose
14"
49
crawl spaceRum-Foam
Slab -on -grade (0.12")
NA
Crawl space walls
NA
Basement walls
Frame - Blown Celk
lose 5.5"
20
Vinyl Batt
5"
19
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, a d was I talled in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Jor---Z-*Teren oaglund
Business Firm: Bluestone Homes of Colorado, LLC `
Address: PO Box 1889 Fort Collins, CO 80522
Phone: 970-472-9125