HomeMy WebLinkAbout418 LYONS ST - DISCLOSURES - 3/25/20180
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
i sd sc2 As - 7/1 o/98
Job address
I
Neighborhood & Building Services
281 N College Ave P O Box 580 Fort Collins CO 80522
Phone 970 221 6760 FAX 970 224 6134
'S
General contractor -1 o H f j / H /L LA✓i -1 ✓Vt f 7 / Ar
Insulation contractor t11 -2 Oil p t. e r-/' S 1aAj4f r z A/yj 7 EC
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 made available to the original home buyer
Insulation
Location
I Material(s)
I Thickness
Rated
I R value
Location
(Int / ext)
Notes
Flat or vaulted ceilings
with attics above
9 r
g
�
Ceilings with enclosed
rafter cavities
4
'Z I b f 1- 2s ca�, L '
22. sY
Frame walls and rim/band
jIoists -to exterior
P i A— / tyr 5 �
RAL✓
►
LQ
TE(
Frame walls and nm/band
'
joists -to attic garage
i
A_L- Q
3
Frame floor cantilever
Vim€
Frame floor over garage or
crawl space��
Slab -on -grade (0 12 )
Crawl space walls
Basement walls
(} 41 0 EnS
2 2
Lc �L S /b
Certification o
[Me certify that the above listed insulation was installed in the building at the above 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 Jo jj lit& +v,-'7 LA/4 L L tL
Signature \ f —\ Date 2- ->
Business Firm / D Nt P L r�C /n !L. h< . ,r.i.i
Address _ 32
IL �t
Lot. L-LE
Phone