HomeMy WebLinkAbout7445 Stonington Ct - Disclosures - 02/10/2004 (2)F
ollins Residential Energy Codethe building &zoning de t, pf
ATION DISCLOSURE FORM p
_ 7no7e Community Planning and Environmental Services
281 N. College Ave., P.O. Box 560 .Fort
Voice: 970 221 6760 FAX: 970 2241613 � CO flt}522
Job address; _ 7gg5' A(,
General contractor:
Insulation contractor:
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This disclosure Torm Is to be signed by the Insulation contractor or representative of the general contractor.
S 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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Rated Locatioh......................................................:..::::.::.
Loc.....`tlo�n Materials Thickness R-value Int / ext
Flat of vaulted ceilings Notes
with attics above
Cellingi with enclosed
rafter bavilies
Fratne walls and rim/band
Met* — to exterior
Frame walls and Nm/band
Joists -- to attic, garage
Frame floor - cantilever
Frain! poor - over garage or
crawl space
Slab -on -grade t0=12'1
Crawl space walls
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basement *ails
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• -----.—••-•�i ��••�, �•••• ��.� n was R1aUllled el aCCoidi
Person Certlfyind Job:��
. w. irnu, uie msunaon Guidelines" published by the City of Fort Collins.
Date: Z—/d —(j
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