HomeMy WebLinkAbout6836 Timpas Dr - Disclosures/Insulation - 09/30/1998Fort Collins residential energy code 7196
Insulation disclosure form
Job address: Lat3ta cz�
General contractor:
Insulation contractor:
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11 Rated Location
Location Material(s) thickness R-value In I ext Notes
ceilings
Flat or vaulted ceilings
with attics above
_\AVj4<, tAN t-A Yl U _F
9z
Ceilings with enclosed
fig-j u-k-
V 7
rafter cavities
Frame walls and rim/band
mi "Joists -to exterior
Frame walls and rim/band
IPA-;� Joists to attic, garage
z
Frame floor - cantilever
Frame floor - over garage or
V,L-Lf
crawl space
Slab -on -grade (0-12")
Crawl space walls
17-1
Sasement walls
I Mwzm fVkWNVtuL1J Z 1
itify............. ..........
that the above -listed Insulation was Installed in the building at the above locations In conformance with the
,requirements of the City of Fort Collins Residential Energy Code, and that it was Installed In accordance with
ilicable *Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: J C' Phone: 5644
Business firm: lj�kuo-t Date:
Address:11031 �rLx4krj '&VI), W6S:rmjr4S&eSignature:_
This s'*u"r'e' ... form ... I's-to b'e' +signed*'+'*'b'y th'e Insulation contractor representative of the general contractor. ............................
Please type or print, except for the signature.
if 66ponents vary, make multiple entries to describe them.
,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.