HomeMy WebLinkAbout944 Ridge Runner Dr - Disclosures/Insulation - 10/15/201306/23/2013 18:37 FAX
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Fort Coltltts R Itie
nt''l Energy Code the building dr zoning dept. of
INSULATION DISCLOSURE FORM
�. S� _ rnosa. Community Planning arhd`+Envirord"ental Services
281 N. Coe oo Ave., P.O. Bcx`580, Fat C MM. CO 80522
/' VaWe:�aM 2216760 FAX: 97 pp y A 6134 p^ J
Job address: "I L4 j} j j l �i li 1� n 5 z c4/
General contractor:
Insutatlon contractor:
#:.r.0 t
INSTRUCTIONS
TTplease his disdosure form is, to be signed by the insulation contractor or representative of the general frontractor.
type or print, except for the signature. Complete the information in the appropriate spaces provided.
N components vary, make multlp18 entries to desciibe them.
One copy of this form must be provided to the Building and Zoning DepaMnent prior to the C:O.
One copy of this form must be made avmlat)ie to the original home buyer.
Insulation
Locellon Materia s} I t� r r ._. _ I Ra" I ' �Locatlon i
FW a vnated odanps
I-{ C'!'Q
ww maxa.bo e
i'I l�i'l C� Fla ti
Celanpt wkh eriUoaW
rang eyvatra
Frams weft end AIJIberw
71 i ir-a 177
kixb -to eatntN
1--fr6ms wait and raehLand
>lab - to stbc, tip
f-
Fran.e naa • eandlevea - ` a G _. � �'✓ct
Frame aaor . over p fufp or
a,wi sp ,
afab.a,.yred, to.1s-�
Crawi apace wols
assernwa vans a i^'i hvr'n I n c.c-. t ±, Y,. , r _ . .
Certification
WJe Owdfy that the above418led insuation was
Fat Collins ResloenU erw-My Code, and that i
Person CerbVng 4dli-'\ \ Orr, r.
f in tie bwlding at the above locatiarhs in cortomiance withthe current .
mailed In accordance with the "Insulation Guidelines• , requirements of ate
. , "i by the, City of Fort Collins.