HomeMy WebLinkAbout3926 Gardenwall Ct - Disclosures - 12/17/2001 (2)VU l —e0-cur a I nu 1 u• u l ru, I v UU i r.M i riv, 1111W
For, Collins Residentlal Energy Code the building & zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Environmental Sarvlces
281 X. College Ave., P.O. Box 5eo, Fort Collins. CO 80522
xi"492.ss-711=4 Velce: 970 221 6760 FAX: 970 224 6134
Job address; I- b '
General contractor: _ �(►__ "�(A �I
Insulation contractor: 1t� it No��ti
.
INSTRUCTION'S.:::.to .
This disclosura form is 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-
....
., ..
a�Ion-...... _.... ,... ..
nsui . Location
Materials 1 Thickness R-value Int l ext Notes
Flat or vaulted cellingt: ~ I —3
with attics above
I
Ceilings with enclosed
ratter csvities
Frame wails and rim/band 1 Z" 1
joists — tc exterior
Frame walls and rim/bond
joist: — to attic, garage
Frame floor - Cantilever
�1
Frame floor - over garage of 114
crawl space
Slab -on -grade (0-1Z'7
Crawl space walls
Bas ement wrall s
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•.................................... .................. ra........................�..... ...... ..,,..,::::....... ..:,.•.
Certtficatlon; .�.... ..
port Collina Residential EnereY Cods, and that R Yas Installed In accordance with the In ....,..... e
I/YVe cortit that the above -listed insulation was installed in the buildingWho above IoZabon9 in conformance vft the current requirements of tfte
\ C } ,, u;ation Guidelines' pubGahed by the City of Fort Collins.
Person Certifying Job' .�txe 'D �Qt't�1Ao t
Signature: Date: r?—O/
Business Firm. like ;y
Addrass! 12°12- S • C level ti V e (a n