HomeMy WebLinkAbout4244 ROLLING GATE RD - MISCELLANEOUS - 3/14/200103/14/01 13:47 FAX 9702237098 THERMALCunCerla
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Fort Collins residential energy code 7/96
Insulation disclosure form
Job Address:
General Contractor: Mark Twain Homes
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
97n-993-7090
/My
Location
Flat or moulted ceilings with
attics above
Ceilings with enclosed rafter
cavities
4
Material(s)
Thickness
Rated
R-volue
location
(Int/Ext)
`ail f,.t i i. iY,�Y,.•
Notes
sa"
Blown Fiberglas
15.5"
38
Ist'Ca:
12.75 bags to cover 660:
Blown Fiberglas
15.5" _. .
38
2Md Ca
17.5 ba<js to cover 905s
Kraft FG Batts
12"
38
-
Flat
Kraft FG Batts
12"
38
Slo e
Frame walls and rim/band
joists-lo exterior
ti
-•
FG Bails w/poly
—•- -
3.5"
13
-- -
Frame walls and rim band-""'•"'^
joists -to attic,garage
FG Batts
3.5"
13
RIM
Kraft FG Batts
3.5"
13
"'
ICVd
Frame floor-contilevor
NIA
Frame floor -over garage or
Growl space
FG Batts
6"
19
-
Slob•on-grade (0-12")
N/A
Crawl space walls
NIA
Basement walls
Vinyl Faced Blanket
3.5"
11
walls
Foam sealant
Foam rope doors, windows at
d team mechz
nicals. Caulk
aseplates.
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'if", i one"0 ,ir +rrtr j81K�i°j8 t
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1/We certify that the above listod insulation in the building of the above locations in conformance with thu current requirements of the City of fort Collins
Residential Energy Cod*, and that it moos installed in occordonce with the oppl,cobtu "Insulation Instollolion Guidelines" published by the City of Fort Collins.
Certified by: Thermal Concepts Insulation Phone: 970-223-7090
Business firm: Thermal Concepts Insulation Date:
Address: 6617 S. College Ave. Signature: _--
., In"ecru ei T,1-t S•^'^+7 T'bFitiw Wda•�'A10.r tat¢,N"�'Se^E ".¢k, t y i 3 .. r,# - rJ r r t y, � � � v. y _ .. •.✓r.:J,
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Thi, disclosure for is to be signed by the insulation contractor or representative of the general contractor
Please type or print, except for tho signotvre.
If components vary, make multiple entries to describe them.
One copy of this form sholl be provided to the Building and Zoning Department at finol inspection.
One coon of this form shall be provided to the home buyer.