HomeMy WebLinkAbout3514 Green Spring Dr - Disclosures/Insulation - 05/16/2007I
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insdisc2xis — 7110/98
Job address:
General contractor:
Insulation contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 22,4 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 made available to the original home buyer.
Insulation
Rated
Location
Location I
Material(s)
Thickness
R-value
(Int / ext)
Notes
Flat or vaulted ceilings�,.�4
_
with attics above
r
Ceilings with enclosed
rafter cavities
Frame walls and rim/band.,k
joists —to exterior
Frame walls and rim/bandx,�
joists — to attic, garage
Frame floor - cantilever'_r,''ggY�,�'"/
,�5.3 � ✓p°Nv
Frame floor •over garage or
g
crawl space
Slab -on -grade (0-12")
Crawl space walls
Basement walls
Certification
IM/e 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 R was installed in accordance with thg "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job:
re: / Date:
Business Firm:
Address:
Phone: