HomeMy WebLinkAbout826 Roma Valley Dr - Disclosures - 04/07/2003 (3)h HA NU. J f ULC401 J4
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the building 4 zoning dept. of
community Planning and Fnvironmenta( Services
281 N. College Ave,, P.O. Boa 5W, Fort Collins, CO 80522
Voloc 870 221 d7oo FAX: g70 7�d aru
EFOrtlins Residential Energy Code
TION DISCLOSURE FORM
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Job address:
General contractor;
Insulation contractor:
Location
Fiat or vaulted ceilings
Materials
Thickness
Rated
R-value
Location
Int / ext Notes
with attics above
1
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Ceilings with enclosed
rafter cavities
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0
Frame walls and rlmfband
Joists -- to exterior
Frame walls and rlm/band
------------
joists -- to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-1241)
crawl space walls
Basement walls
JAISi
mod•.
•.ertifIca to
NO
ycortifthat the above fisted insulation was installed in a ...:::.:.:::::.:::;•::?: " :f2•::;
:c; t
th buildir>A at the above locations In conformance with the current requirements of the
rt Collins Residential Energy Code, and that R was installed In accordance with the In
Guidelines" published by the City of Fort Colfiru.
Person CertifyinZo'i
Signature: / M �A _
Business