HomeMy WebLinkAbout4815 CARAVELLE DR - DISCLOSURES - 8/20/2004 (2)Fort Collins Residential Energy Code
Insulation Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: 4815 Caravelle
General Contractor: P.L.S. Homes
Air Sealing Contractor: Allied Insulation
The building & zoning dept. of
Conummity Planning and Enviromnental Service
281 N. College Ave, P.O. Box 580, Fort Collins, CO 80522
Voice: 970 224 6134 Fax: 970 224 6134
Instructions
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. 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 mad available to the original home buyer.
Insulation
Location
Materials
Thickness
Rated
R-Value
Location
Int / Ext
Notes
Flat or Vaulted
Therna las
15.25
38
Attic Blow
Ceiling with attics
38x24x48 K
12.75
38
Inaccessible Ceiling
above
Ceilings with
enclosed rafter
cavities
Frame walls and
13xl5x93 K
3.5"
13
2x4 Walls
rim/band joists -to
19x15x93 K
6.5
19
2x6 Walls
exterior.
13x15x93 U
3.5
13
Rim/ Box
Frame walls and
13x15x93 K
3.5
13
2x4 Walls
rim/band joists to
attic, garage
13x15x93 K
3.5
13
Knee Wall
13x24x96 K
3.5
13
Knee Wall
Frame floor -cantilever
Frame Floor -over
garage or crawl
space
Slab -on -grade (0-12")
Crawl space walls
Basement walls
Certification
Uwe Certify that the above- listed insulation was installed in the building at the 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 Certifyi -3p� Dales
gn Siature: ��
Date: 8-20-04
Phone (970)962-9011