HomeMy WebLinkAbout6215 TREESTEAD CT - DISCLOSURES - 8/20/2003Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
11"isrZlft — 7110M
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
V010e: 970 2216780 FAX 970 224 6134
INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor or representative of the neral 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
Fiat or vatdted callings
with attics above
Callings with enclosed
rafter cavities
Frame wells and rim/band
Joists —to exterior
Frame wails and rim/band
Joists —to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
slabon-grade (0-12")
Crawl space wails
Basement wars
Rated
Thickness I R-value
—`e'. I t. .k
Location
(Int / ext)
Notes
Certification
VWa Certify that the abovve4isted insulation was installed in the building at the above locations in conformance with _the current r
Fort Collin Residential Energy Code, and t wa nstalled in accordance with the "Insulation Guidelines" published by the C f Foert�Co f th
Person Certifying Jo
Business Firm: \1
Address:
rift#-.
Phone: