HomeMy WebLinkAbout639 Stoneham Ct - Miscellaneous - 01/20/2000 (2)Fort Collins residential energy code 7196
Insulation disclosure form
Job address:
General contractor:-- 1_
Insulation contractor:
Insulation
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Location
Materia s
Thickness
Rated Location ....... . ...
R-value Int I ext Notes
Flat or vaulted ceilings
with attics above.
Ceilings wl(h enclosed
rafter cavities
Frame walls and rim/band
Joists —to exterior
Frame walls and rim/band
Joists — to attic, garage
"3 �Qm
Frame floor - cantilever
Frame floor - over garage or
crawlspace
3 _Y4 94—
Slab-on-grade (0-12")
Crawl space walls
q Iki
Basement walls
....... .. ... . .. ..... . .. ..... . .Certificatf..
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on
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I/We certify that the above -listed Insulation was Installed In the building at the above locations In conformance with the
current requirements of the city of Fort Collins Residential Energy Code, and that R was Installed In accordance with -
the applicable "insulation Installation Guidelines" published by the city of Fort Collins.
j
Certified by: Phone:
Business firm: 110A4A_5 Date,
Address: Signature:
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ins't*rLictions:.%.'.' ... ..... . ........ . I_- .............. .... ..... ... . ... ...
. .. . ... .... . .. .... .. ........ ... ... %'
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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.
It components vary, make multiple entries to describe them.
One copy of this form shall he provided to the Building and Zoning Department at final Inspection.
One copy of this form shall be provided to the homebuyer.