HomeMy WebLinkAbout1115 Saint Croix Pl - Disclosures - 04/10/2003Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
Job address:
General contractor:
Insulation contractor:
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Community Planning and Environmental Services
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This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type orprint, except for the signature. Complete the information inthe appropriate spaces provided.
If components vory, 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 ofthis form must bomade available tothe original home buyer.
Location
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists — to exterior
Frame walls anunmmand
joists — to attic, garage
Frame floor 'cantilever
Frame floor 'over garage or
crawlspace
Slab -on -grade (0-12l
Crawl space walls
Basement walls
M
Thickness
-�
I" 'c a that the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and that it wz!�,installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job:
Signature: 7 D ate: