HomeMy WebLinkAbout2515 Spruce Creek Dr - Disclosures/Insulation - 05/04/2018Fort Collins Residential Energy. Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor.
INSTRUCTIONS
L&L Insulation, LLC
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
This disclosure.fonn 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
Location
Materials
Thickness
Rated
R=value
Location
Int / ext)
Notes
Flat or vaulted ceilings
with attics above
Loose Fill FiberglassI
-
.
Ceilings with enclosed
raker cavities
Fiber lass Batts
Blow —In —Blanket
Frame walls and rim/band
joists --to exterior
Fibeta lass Batts
"zn_
Closed Cell Foam
Blow -In -Blanket
Frame walls and rim/band
joists —to attic, garage
Fiberglass Batts
by-77
677,
Closed Cell Foam
Blow -In -Blanket
Framefloor- cantilever
Fitier�18S5 Batts
Blow -In -Blanket
Frame floor - over garage. or
crawl space
Fiberglass Batts
n
Blow -In -Blanket
Slab -on -grade (0-12")
Crawl space walls
Fiberglass Batts
Vinyl Wrap
Basement walls
Fiber lass Batts
-
r
Vinyl Wrap
-
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, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort.Collins.
Person Certifying Job: Kevin Miller
nature: A -,r;,, &A.. Date: S— L1-1 g
Business Firm: L&L Insulation, LLC
Address: 401 North Link Lane Fort Collins, CO 80524
Phone: 970-221-3180