HomeMy WebLinkAbout621 PEYTON DR - DISCLOSURES - 8/23/2005Fort Collins Residential Energy Code
Insulation Disclosure Form
(Not applicable to E-STAR or ENERGY SCORE rated homes)
Job Address: �� iJ - 1936 Full
General Contractor: DR Horton/Melody Series
Air Sealing Contractor: Allied Insulation
The building & zoning dept. of
Community Planning and Environmental Service
281 N. College Ave, P.O. Box 580, Fort Collins, CO 80522
Voice. 970 224 6134 Pax: 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.
L.&.1
111041a Wil
Location
Flat or Vaulted
Ceiling with attics
above
Materials
38x24x48K
Thickness
12.76
Rated
R-Value
38
Location
Int / Ex*__
Notes
Inaccessible Ceiling
Ceilings with
enclosed rafter
cavities
Frame walls and
rim/band joists -to
exterior.
13xl5x93U
3.6
13
2x4 Walls
19x15x93 U
6.0
19
2x6 Walls
19x15x93U
6.0
19
Rim/ Box Sills
Frame walls and
rim/band joists to
attic, garage
Frame floor -cantilever
19x15x93 U
6.0
19
2x6 Walls
13xl5x93U
3,5
13
2x4 Walls
30xl6x48K
10.25
30
Frame Floor -over
garage or crawl
space
Slab -on -grade (0-12")
38x24x48K High Density
10.25
38
l lxl5x93U
3.5
11
Combined total for R49
Crawl space walls
Basement walls
Certification
I1We 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 Certifying Sob: Brian S. Krueger
Signature:
Date;
Business: Allied Insulation
Phone: 970-962-9011