HomeMy WebLinkAbout3317 SHALLOW POND DR - DISCLOSURES - 6/24/2004Fort Collins residential energy code 7/96
Insulation disclosure form
Job address: JW7 J_4411-0 J Pa>vb sOX,
General contractor: s7-D AJ & h rods_ 9 /d /ME s _ _T„ j„
Insulation contractor: _Frp �ysu/rrio a
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Location
Materials
Thickness
Rated
I R-value
..............
Location
Int / ext Notes
Flat or vaulted ceilings
with attics above
LOGaJJtJ -X &4f l y
/ . 75
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
Joists — to exterior
/A5s 64-rr
3 .5
/e - /3
�
F 2r /,4SS iaAr r
15, Z$
Frame walls and rimlband
joists —to attic, garage
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T is
Framefloor-cantilever
A5S ATT
Frame floor - over garage or
crawl space
Ass I pA.TT
/D
Slab -on -grade (0-12'1
Crawl space walls
/ $ K
5.2 5 "
Q .
Basement walls
n D
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Me certify that the above -listed insulation was installed 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: yyj-i2 � ��.r�.f- Phone: rj7D. 40[07- $O! $
Bu¢iness firm:57QNrr/oYGL cEPon*e5 -ti�1L Date:
Address:'Ap 24ZS. ,LOveJ4nb , CD W539 Signature:
Instr__.. ...........::::.:.::::::.:::: •:::::::::::::::::•..:::.:::::::•.::::::::::::..:::::•::::•::::::•::::.::::.::::::::::•:::.:,,:.::::::::::::::::::.-:.:::::::::::::::::::::::::::.:::::::::::.::•.:::::::.::............... ::::::.................
uctions -::::::::;•:;;:::::;•::::::•;:::;.;..........:::::.::::...............__................................................
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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.
If components vary, make multiple entries to describe them. ti.e.���rss�-�
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.