HomeMy WebLinkAbout3820 Gardenwall Ct - Disclosures - 12/13/2001Wl-4:)-0001 Inu 1u.ur nt1 IV uuiLutrty ,utL4 &V14911�
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
Asa st.�r. - IRCAG
Job address:
General contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. Capege Ave., P.O. Ba U0, Fort Cotllns, CO SC5::
v:ic 970 =t 67M FAX: 970 2_4 5134
insutatien contractor. I It I t CL^
I.NST,RUCTIONS.......... ...... .............. .
... disc.csure form is to be signed by the insulation contrac or or representative of the general contractor,
his=lease type or print, except for the slgnaturer Complete the information in the a�.rcpriate spaces provided.
l; Zarnponents vary, make multiple entries to describe them.
O,je c.1py of this form must be provided to the ouilding and Zoning Deparment prior to the C.O.
one copy of this form must be made available to the original horne buyer.
................................. .: ....... .......:i:.'•'............................
l.':f.\':::::::.::::.:Y/: :':::.�:. ':: ,.......... ..... �........... ... _............_........... _.. ..............
::.......1 ::.Location
Lccation
Flat or vau(ted ceilings
wim attics anove
Ceilings with enclosed
carter cavitiez
Frame walls and rimlhand
jai ;s —to exterior
Frama walls and rimiband
;cis+: — to attic, 72rage
=lame floor -cantilever
Frame floor - over garage or
crawl space
slab-an-prrade (0-121
Crawl apa:e walls
asament waIIs
a is
1NVe verify that 7+e insul
Fcrt Residsndal Energy Code,
Person Certifying Job:
Slonature:
M
Thickness
R•value I (tnt / ext) I Notes
...._ 1.\.....1.WAlv�:::..: .•.`:::: ^:.•:tM:�:'.......:Y:N. .\:.::::..�-.
wr.................•.... ..... -....
es instsilad in the building the above lo:ations in contwMance with 4te rog
Current t. rbmen o e
that it was installed In accordance with the'Insulatron Guidelines' published by the C ty of Fort coirl-s.
)2/l3 /n t
Business Firm*,L" P Is
Phone: 7 9a