HomeMy WebLinkAbout1521 Purple Sage Ct - Disclosures - 12/05/2001— 1 — 4.WW 4 1 1 lu AWIUI r1i I 1 %0 1JV I LAI I LIV TIMI GV11 I 1W rns) 11Vs QIUCC40104 r. UL
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
t%3";-_Ws - 711011116 "
Job 2ddress, I Sq I P'llo Ic
General cantraotar.
Insulation contractor: AWed
the building & zoning dept. of
Community Planning and Environmental Services
201 N. rallegeAvc, P,O. Buz 580, Fort Collins, c-o au5_)z
Voice: Sid =16?W FAX: 97OZ245134
This di3cicsure frrm is tQ be signed by the Aswidtion cint.-deor :r represz^ta#ive of the ;anaral contractor,
P;aase type cr print, ExcsFt fur *Jle SIgnalure- cminiplets the inrcrmaticn in t`;e aPpropriate spaces provided.
!f ,omponents vary, make multiple entries to describe thern-
One copy of this form must be provided to the Building and Zoning Ceparment, prior to the C.O.
One copy of ,his form must be made m-ailable I.o the original home buyer,
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insu ...... ............ ................... ...... .. ........................ .. ..... .. ...... ......
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Location
Mateflai(s) Thickness
Rated
R-Value
Ga - flo - n
-iint'lext) Notes
Pfat or vaulted ctilings
with altICS above
I x*
Ceilings with enclosed
oftereavitiat
Frarnt wails and rimhand
joists ..to exterior
Frame walls and tirri/barld
;01'stz —to attic, prage,
name floor . cantilever
Frame floar - over garage or
trawl space
LAIN
Crawl space walls
Easarnar( walls
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i. 71 ........ .......... I ...... I . - i:' ' — , " --
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Ertl
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0.'Ve certify that no aboviil insulation was installed in the building at die aboya lo=atioris in czritorman" with the curer requirements of the
Fort Collins Residential Energy Dodv, and that it was inamill*d :n amordisnee with tie "Inaulation Guidolinva' pubkxbocl by the 0ky of Fort Collins.
Person Certifying Job:
7-k—' I
s 16 1
1".
Address: QCVe_1SA&L_
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