HomeMy WebLinkAbout5121 Mill Stone Way - Disclosures/Insulation - 07/26/2006Jul 26 2006 9:33RM COLLINS CRSHWRY 9706132004 P.
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
-7MWIS
Job address:
General contractor:
Insulation contractor.
the bui Idi fig & zoning Opt, of
Oofnmunk Planning and Environmental Services
281 N. Oft* Ave., P.C. Box dW, fort Cosine, CO so=
Voice: 970 221$700 FAX: 970 224 0134
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This disclosure form Is to be signed by the Insulation contractor or representative of the general contractor.
Plesse type or print, except fof the signature. Complete the information In the appropriate spaces provided.
If components vary, ntske multiple entries to describethem.
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 matte available to the original home buyer.
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Location
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MabeNsl s
.....
Thickness
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:.IRaw .. Location:. _,..........._. .............................
R-value Int 1 ext Notes
Flat or vaLdled tailings
with attics above
.II
Callings with enclosed
rafter cavities
France walls and rimlband
joists .. to exterior
. 3'
Frame walls and rand
joists •- to attic, garage
Frans floor • cantilever
Frame floor - war garage or
crawl space
Slab•on•grado (0.12y
Crawl spacewalls
Bassmant walls
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Fort Co9ins Residsr►tla1 F.rtergy Cade, and trial It�[vas ktstalled in acxordartoe witlt the'inrulsdon t3t#detir?as' publWted try the � of Fort Coiim ar:.-'
P•rson CslfNying Job.
Phone: �iGi•�O!',�
PACE 315' RCVD AT 7/2612006 10:31:27 AM [Pacific Daylight Time]' SVR:S45A100113' DNIS:3724. CSID:9706132004' DURATION (mm-ss):04.22