HomeMy WebLinkAbout420 PEYTON DR - DISCLOSURES - 7/24/2003 (3)Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
1nsd1sc2As — 7110198
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: 970 224 6134
Job address:� ��'�/%Z� Qie•
General contractor: 0<_"'tg
Insulation contractor:
I STRU:CTI ONS... `...:. ......... .........::.....:::.
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.
............... ....... ...............
-
Location
.................... ........__ ...__ ...
Materials
Thickness
Rated
R-value
Location
(Int / ext
..........
Notes
Flat or vaulted ceilings
with attics above
2
— —3.�
Ceilings with enclosed
rafter cavities
U
Z-
—
Frame walls and rim/band
joists — to exterior
t
—
Frame walls and rim/band
)olsts -- to attic, garage
0CO(LNI
1
Frame floor - cantilever
Frame floor -over garage or
crawl space
►iu
1
—
Slab -on -grade (0-12")
Crawl space walls
Basement walls
ESV