HomeMy WebLinkAbout7339 Triangle Dr - Disclosures - 10/22/2002DI
IFort Collins Residential Energy Code
NSULATION DISCLOSURE FORM
InsdiscUs — MOM
Job address:
General contractor:
Insulation contractor:
the building I& zoning dept. of
Community Planning and Environmental Services
281 N. College A"., P.O, Sax 580, Fort Collins, Co 8os22
Voice: 970 2216760 FAX: 970 224 6134
I-NSTR.UdTTQWS.:..:.�:,
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This disclosure 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 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.
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Location
Material(s)
-Thickness
Rat6d Location
R-value Intlext Notes
Flat of vaulted ceilings
with attics above
r
Ceilings with enclosed
rafter cavities
Frame walls and rIm1band
joists - to exterior
'12-
Frame walls and rim/band
joists -- to attic, garage
'To SJALW% Lj .0—
Frame floor - cantilever
Frame floor -over garage or
crawl space
Slab -on -grade (0-12")
Crawl space wails
64AA,
Basement wells
92
1001111��
Certifucaton.
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I1VV0 cedfY that the above -listed insulation was installed In the building at t'he'ab'ove- locations in conformance with the current req . u . ir . am . a . nt .. of the
Fort Collins Residential Energy Code, and that It was installed In accordance with the -,insulation Guidellnee Published by the City of Fort Collins.
Person Certifying Job: IRRIA&I Km L_J
Bu
Address: