HomeMy WebLinkAbout1326 Sunflower Dr - Disclosures - 09/09/2003Fort Collins Residential Energy Code the building & zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Environmental Services
insaiw=•w+- 711019e 281 N. College Ave., P.O. Box 580, Fort Collins, CO 805`
Voice: 970 221 6760 FAX: 970 224 6134
Job address: 1,5a (.p Di . a
General contractor. pz-5
Insulation contractor. A ll,�J
I;N:URVCTI0N5::':
This disclosure form is tc be signed by the insulation contractor or representative of the general cantrac;or.
Please type or print, except for the signature. Complete the information in the apprcoriate 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.
sulati0
......................
Location Material(s) Thickness
Flat or vaulted ceilings •
with attics above
Rated
R-value
Location
(lnt / ext)
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists - to exterior IN
V-
Frame walls and rim/band
joists - to attic, garage
Frame floor - cantilever
l /0" 1
Frame floor - over garage or
crawl space (.An- T l Q
Slab -on -grade (0-12")
Crawl space walls
Basement walls
I a, la -
0*
Notes
it- .. , .........
n afi cation::::•:::::::.:.;•;:::::::.: •::•: •>: ;:;;:•::•:::•::•:;::•::•::;•:: ;•: ;•::•:;.....-:•::;:::::::::::::..•:::::::::::::.:::::::::::::.:::::......................................................................................................... _..
1/1Ne ...... ..
:: •:•.::::..........................................................................................
certify that the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of �e
Fort Collins Residential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fcrt Collins.
Person Certifying Job: / V to,
Siqnature:
Business Firm: IM11'eAT+�SU la�ia�
Address:- 1.2q_0 C le,n.o.L .4 -
Date: 9IQ103
Phone: %Cp D' %10