HomeMy WebLinkAbout814 Ridge Runner Dr - Disclosures/Insulation - 05/23/201306/2;S/2013 .5:37 FAXjj000-9/0002
Fort Collins Residential Energy Code the building & zoning�dept. of
INSULATION DISCLOSURE FORM Community Planning and Enviraaimerstal Services
287 N. Co4egs Avow; P.O. Box 580, Fort Collins,. CO 80=
'-` - Voiaa; M221 6760 FAX: 070 224 s134
Job address: ii { ib�pti "j4j iLc Mtn K o - I
General contractor:
Insulation contractor.
INSTRUCTIONS
This disdosure forth is to 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
It 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 forth must be made available to the original home buyer.
Insulation
Location
Flat or vaulted calings
with attics above
Ceilings with enclosed
ratter cavaLles
Frame wails and rim/band
ioiah - to exionor
,-.Frame walls and rcn7band
Gists - to attic, garage
Frame floor - ciirrNiever
Frame noon - over garage or
crawl space
6labongrade (0.12-)
Crawl apace walls
Basement walls
aaa�t�
Rated I Location
R-value not t nrtl
Certification
Me c ertfy that the above-rtsted insulation was installed in the building at the above locations in oontarrnanoe with the current re4uimments of the
Fort CoPns Residential Energy Code, and that it was installed in accordance with the"Insulation Guidelines' pubiistied by the City of Fart Collins.
Person Certifying 4d'b % \rc>.*.no
Date:
lusiness firm: r:7e e-
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Address:
CU
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Phone- -�g 3