HomeMy WebLinkAbout7126 Avondale Rd - Miscellaneous - 04/06/2001 (3)Fort Co'11 1'1' 600 4 1 Energy Code
INSULATION, DISCLOSURE FORM
WMISCZ& - MOM
Job address.
the building A 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
General contractor: "Elt-apt! 146&%46-5 =10—
Insulation contractor: Aka_ian -_=r'L5UL.0Mn&L
INST140 C. T-10 I NS].'�_'.'
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.
111II.Sulatiorw
Location
Material(s)
Thickness
Rated Location
R-value Int ext Notes
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
MIAAI- t4A&kVIL_1_Ar_
_-T 1/ 7
Frame walls and rimfband
joists — to exterior
-70W&Ll MA& I ih, , IZ
Frame walls and rim/band
joists — to attic, garage
-Tw4mr, M"titu_j ir
----T I 17
Frame floor -cantilever
J4&L-5 NAA 11111 A —I='
Frame floor - over garage or
crawl space
Slab -on -grade (0-12")
Crawl space walls
Basement walls
_SQA4Al< MAA11111j_=_
7!Z '1Z
k>-
.......... ........... ....... . ... ...
VW* c6l; r L'AbOVO_listad insulation was installed in the building at the above locations in conformance withI the current requirements . of the
Fort Co" kiiiiil"' 'Energy Code, and that it was installed in accordance with the 'Insulation Guidelines- published by the City of Fort Collins.
Person Certifying Job: PR I AA1 14M I
Signature Date:
Business Firm: dovo.-LI'Es
LOCAL '5i710-Z4VZa-09
k1 Oo- Rnaze-) Phone: