HomeMy WebLinkAbout5220 Boardwalk Dr - Disclosures/Insulation - 12/15/2003VFW
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
1111111OWG&M-M&N .
Job address:
all contractor:
1-:3raullatlan contractor:
the building & ZOhinq dept. of
Community Planning and Environmental Services
281 W C4kVo Ave., P.O. Sax 590, Pon Colling, Co W22
Voics: 970 221 6750 FAX, 970 224 6134
fl...WT Q wT ... N.S.'.."
This disclosure form Is to be signed by the insulation contractor of representative of the general contractor.
Please
type or print, except for the signature. Complete the information in the appropriate spaces provided.
It 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.
V............
.............. . . ... . ..... . ................ . .......
......... . ............
Location
flat or vaulted collings
with attics above
......
Mat itriall(s)
I- ---
.1 X A 4d&
........
Thickness
— -
...... — ...... ... .........
Rated Location
R-value (Int I exit Notes
JL 610")
Lo
x Vd-ft
ceilings with enclosed
rafter ravitiaz
Frame walls and rim/band
jolats - to axiarior
Frame walls and rim/band
joists - to attic, garage
0
Frame floor - cantilever
Frame floor - over garage of
Crawl space
Slab -on -grade (0-12")
Crawl space walls
A-
-------
Basement walls
.... ... ............ ..............
..... . .. .... . .............. .. ... .... .................. .. .... .... ....................... ............... .......
............ . .................
...... ................
di` r.666 "a b on
certify that the above -fisted insulation was installed In the building at the above locations in -conformance with the current requirements of the
Fort Colin accordance with the 'Insulation Guidelines' published by the City of Fort Collins.
lins Residential Energy
_ga"4pd that k was installBy
Person
mature:
Date:
uusiness Firm. A4
Address: 2- Ci fa NS �
P h 0 no, kci -'-0 a) 0 ?- -Zia, I