HomeMy WebLinkAbout3557 Bear River Ct - Disclosures/Insulation - 04/09/201406/23/2013 18:37 FAX
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Fort Collin Resigerrttal Energy Cods
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor:
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This dsdosure form 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.
If components vary, make multiple entries to describe them.
One copy of this torm must be provided to the BuAding and Zoning Department prior to the C.O.
One copy of this form must be made ayslable to the original home buyer.
the building & zoning dept. of
Community Planning and Environmental Services
201 N. C a%e Avg., P.O. Box 500, Fort CoflIM CO 80tj"
Insulation
Location
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FW or vatted ctitirps
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wtal attics above
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Ceilings With enckl ed
rafter Cavities
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.arts - to attic, gmvge
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pace
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cram space want
eascm" wane
Rated Location
2-value fint / exo
Certification
'e off "* the adove'Asteci lnot6ation was installed In the building ei the above;0u om in confomhance with the current requirements of the
Fort CoYbn RMiClantisl Energy Code, and that it was installed in accpdance with the "Insulation Guidelines` Published by the City of Fort Co6ns.
Person Certtying4(5'6 "`. \>t-wtc,,J
Firm: S�L,_ <_
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