HomeMy WebLinkAbout1103 Bateleur Ln - Disclosures/Insulation - 02/07/2007E12r''0 7/200- 00:4'c' g 71 1=56'242g
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FOOTHILL (:;LITTER F,t�E 01
Fort Collins Residential Energy Code :the building & zoning dept. of.
INSULATION DISCLOSURE FORM Community Planning and Envlronmentdl Services
o djs<zm _ MOW �M�-- � 281 N. College Avc, -F.O. Box 580• Fort Collins, CO 80522
Voles; 070 221 8750 FAX: 870 224 6134
Job address: __„- -�_�_Ari---.-
General contractor. \ l" r/Llf \`� __ -- --•
nsutatlon contractor: _� w a J - c• - —
INSTRUCTIONS
This disclosure form is to be signed by the Insulation Contractor or representetiva of the general contractor.
Please We or print, except for the signature., Complete the information In the appropriate spaces provided.
If components vary, make multiple entries to describe *,hem.
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 rnade evallabie to the ohoinal home buyer,
Insulation
Location
Flat or vaulted callings
wkh ■ttics above
Ca0fnga with anolosod
ranar c+vklss
Frame wells end rim/band
join-4 - to exterior
Frame walla and rim/band
joists to attic, garage
Frame floor • canwover
Frame (tour • over garage or
crawl spa Ce
Slabonyrade (9.12-)
Crawl space walls
aasemant wdla," main(,
Thickness
k ^ "
S
Rated Location
R-value I lint I ext Notes
Certification ` ' '
Ims certtty that the atvve-Ilslad insulation wall Installed in the building at the above locatlona in oonformence with the current requirements of the
Fon Collins Residential Energy Cosi¢..and that R was installed In aocordanoe with the "insulation Ouidellnaa" published by the. City of Fort Coitne•
Person Cortlfyln
Date:
Signature:`—
suslness Firm.^ o
Address:
Phone: �11v 6idtl 72C;t