HomeMy WebLinkAbout2221 Merlot Ct - Disclosures - 09/22/2003aFortCollins Residential Energy Code
ON DISCLOSURE FORM
inWisc2.bs — 7/ltN88
Job address: _ 'l �1
General contractor:
Insulation contractor.
the building A zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Coffins, Co 80522
Voice: 970 221 6760 FAX. 970 224 s134
Io 4- C4
INSTRUCTIONS
This disdosure form is to be signed by the insulation contractor or representative of the
Please type or print, except for the signature. Com neral contractor.
If components vary, make multiple entries to d the information iem.n the appropriate spaces provided.
One copy of this form must be provided to the describe
and Zonin De artment prior to the C.O.
One copy of this form must be made Zoning ..- . p
available to the original home buyer.
Insulation
Location
Flat or vaulted ceilings
with attics above
ceilings with enclosed
rafter cavities
Frame walls and rimiband
joisb —to axterior
Frame walls and rir gbwW
joists — to aft, garage
Frame floor - cantilever
Frame floor. over gar�or
crawl spsoe
Slab."node (0-12")
crawl space wails
Basement wails
Thickness Rated
R-value
'VN I t.
Location
pnt / ext) Notes
Certification
11We do* Fort Collins that thee .a
b
o
v
e
-l
i
s
te
d
insulation was Maned in the bonding at the
ntial Energy Code, and we
above (oc�tions in c�nforrnance with the
lied in axordmoe with the In
Guidelines" with
ttshed b "�uir�pts of the
Person Certifying J��tiy`"� t � Y the City or Fort Collins.
Business Firm:
Address:
Phone• - Stems - Zt$ 4