HomeMy WebLinkAbout386 Trappist St - Disclosures/Insulation - 03/06/2017Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
Neighborhood & Building Services
281 N. College Ave., P.O. Box $80, Fort Collins, CO 80522
Phone: 970 2216760 FAX: 970 224 6134
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General contractor 1 �Q 1�_1nnCY�P r tl' .
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 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.
Iniaulatlon
I
Rated
Location
Location
Materials
Thickness
R value
Int f ext
Notes
Flat or vaulted ceilings
Loose Foil F*bem ass
with attics eDOvO
giz;X:
Callings with enclosed
Fiberalass Ba
`
rafter cavities
-
Frame walls and rimlbamr
Fiber lass B
A 4
joists -to exterior
Closed Cell Foam
Blow -In -Blanket
Framewallsandrimrband
Fiber I ss Ba
a"
�`:u ,-=, ��.
Wijoists
. Closed Cell FoamBlow-In-BlanketFramefloor-cantilever
r:q:45A%
—to attic, garage
Fibe lass Batts
x
Blow -In -Blanket
Y�
Frame floor - over garage or
- -
Blow -In -Blanket
crawl apace
x,
Slab -on -grade (0-12')
Crawl space wags
Fiberglass Batts
Vinyl Wrap
Basement walls
Fiber lass Batts
Vinyl Wrap
Certification .
Me certify that the aboveriisted 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
Signature: Aidir #Aff Date:
Business Finn: L&L Insulation, LLC
Address: 401 North Link Lane Fort Collins. CO 80524
Phone: 970-221-3180