HomeMy WebLinkAbout4913 SMALLWOOD CT - DISCLOSURES - 2/25/1998Foi _ ,ollins residential energy code ►6
Insulation disclosure form
Job Address: 4913 Smliwood Ct.
General Contractor: C & M Hanes
Insulation Contractor: Thermal Concepts Insulation
P.O. Box 270066
Fort Collins, CO 80522
970-223-7090
Location Material(s) Thickness
Flat or vaulted ceilings with Blown k'fbw 1aS 16tr
attics above
Ceilings with enclosed rafter a
cavities Kiaft FG batts 12a
Frame walls and rim/band FG batts ly A"
ioists-fo exterior FG batt 610
Frame walls and rim/band
ioists-to attic,garage
R-value
Notes
0
Frame floor -cantilever
Frame floor -over garage or FG batts
crawlspace
Slab-on-grade(0-12")
Crawl space walls
Basement walls
Foam sealant I Foam
I/We certify that the above listed insulation in the building at the above locations in conformance with the current requirements of the City of Fort Collins
Residential Energy Code, and that it was installed in accordance with the applicable "Insulation Installation 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: .�.
This disclosure for is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them.
Olin copy of this form shall be providod to the Building and Zoning Dopartment of finrol inspection.
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