HomeMy WebLinkAbout408 Peyton Dr - Disclosures/Insulation - 07/24/2003IFort Collins Residential Energy Code
NSULATION DISCLOSURE FORM
Insdisc2.Ws — 711=8
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
I ins aisetosure torrn is to oe signea 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.
..
IrISul�tlori .:.....::
Location
Materials)
Thickness
_...
Rated
R-value
Location
Int / ext
_ ........
Notes
Flat or vaulted ceilings
with attics above
Z
- _31
Ceilings with enclosed
rafter cavitiesV
Frame walls and rim/band
joists - to exterior
ti
Frame walls and rim/band
joists - to attic, garage
Ow 609NI
Frame floor - cantilever
o
Frame floor - over garage or
crawl space
IN
t
_
Slab -an -grade (0-12")
Crawl space walls
Basement walls
TFSV
:....................... . Ce; :..:..:::•::
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:.. :::::.::.:::.:::...::. . -:
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 it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job:
Signature:• --' - Date: -� -Z Q -/ i
Business Firm: Mfu�,ny �,S S
Address: ,VMS I C tdla,.� uJp s>r�� (o jUCA
iw ''�c lYttaK'7 2 �� �t tr)ZC� Phone SO-1, LIV4 W