HomeMy WebLinkAbout415 S MASON ST 8 - MISCELLANEOUS - 11/29/1999Fort Collins residential energy code �196
1 Insulation disclosure form
Job address: 415 Mason #8
General contractor: Soyi�k Degicin Builders
Insulation contractor: Gale Insulation
Insulation
Flat or vaulted callings
-fit) attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists — to exterior
Frame wails and firrilband
joists — 16 attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
Siaban•grade (0-12")
Crawl space walls
Basement walls
Rated Location
Aaterlal(s) Thickness I R-value I (Int I ext)
20.4
Certification 0:-
tMe.cenity that the above listed Insulation was Installed In the building at the above locastions in co,li,miance with the
current requirements of the City of Fort Collins Residential Energy Code, and that it was Installed In accordance with
me applicable "Insulation Installation Guldelinas" published by the city of Fort Collins.
Certified by: Jiro Youna Phone: 970-224-153
Business firm: Gale Insulation Date: /99
Address: 2016 E. Lincoln Ave., Unit A Signature; ;7-
Instructions Fort Collins,
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,
It components very, make multiple entries to describe them.
One COPY of this form shag be Provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homebuyer.
Notes