HomeMy WebLinkAbout2338 Nancy Gray Ave - Disclosures/Insulation - 03/16/2017Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
ir"w2xls — 71109a
Job address:
General contractor.
Insulation contractor. L&L Insulation, LLC
Neighborhood & Building Services
261 N. College Ave., P.O. Box 580. Fori Collins, CO 60522
Phone. 970 2216760 FAX: 970 224 6134
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.
Inst datinn
Location
Materials
Thickness
Rated
R-value
Location
Int I extj
Notes
Flat or vaulted ceilings
with attics above
Loose Fill FmbffWass
Ceilings with enclosed Fiberglass Batts
rafter cavities Blow-In-Blan et
P -
Frame walls and rim/band FibeLglassS
)oasts —to exterior Closed Cell Foam
Blow -In -Blanket
a
'
Frame walls and rim/band Fiber I s s
joists —to attic, garage Closed Cell Foam
Blow -In -Blanket
o?
Framefloor- cantilever Fiberglass Batts
Blow -in -Blanket
Frame floor - over garage or Fiberalass Batts
crawl space Blow -In -Blanket
Slab -on -grade (0-12")
crawl space walls Fiber lass Batts
Vinyl Wrap
Basement walls Fiber lass Batts
Vinyl Wrap°
—
Certificatlon
I/INe 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 Certifying Job:
Kevin Miller
Business Firm: L&L Insulation, LLC
Address: 401 North Link Lane Fort Collins, CO 80524
Phone: 970-221-3180
6160639L