HomeMy WebLinkAbout832 Ridge Runner Dr - Disclosures/Insulation - 06/23/201306/23/2013 18:37 FAX
0002/0002
[Fort Collins Residential Energy Code the building zoning dept. of
INSULATION DISCLOSURE FORM
1Mww.^M - 7 Community Planning and Environmental Services
281 N. C4Wg* Ave.. P.O. Bo, 580, Fort C,(Hm, Co 806=
Job address: Voice:' OM2219760 FAX: MU 26134
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General contractor:
Insulation contractor.
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INSTRUCTIONS
This disclosure form is to be signed by the Insulation contractor or representative of the general neral contractor.
Please " Of Print. except for the signature. Complete the information in the appropriate spaces provided,
0 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.
Insulation
Location
« ceilings
-tth aftQ3 Movq
Celfingi with encia"d
rafter C&VW*$
Malaria S
7MZor I f9 —
Thickness
�—
Rated
R-value
Location
pntlFiat
Notesv*ulted
Frame w-adh and dnvb"
to *'&Mw
.Frame wwN and nm%and
�stz - to wti_ g"O'
40r Q
Frame Moor. cwytncvw
ova gw*w
CrEM spec*
SW-n-grad- (0-12")
Crwwf spac wmAx
Ba"s"wit "ns
t,artmeation
Me CwtfY 11181 the above -listed insulation was installed in the bLmldRV at the above IDOstons in conformance with the current requirements of the
Fort CokIre Reskler:tW Energy Code, and , dial it was hstWled in &cc;with Wh the "Insuiabon GuideiinW published by the City of Fort C4M,5
Person Certifying b: C, 'i JIM
lusiness Finn: (7 's-'Pe -7
Address: 9,4kpa' L)NI-It C—
Phone: --1-:13