HomeMy WebLinkAbout1675 Fossil Creek Pkwy - Disclosures - 02/25/2004Fort Collins Residential Energy Code the building & Zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Environmental Services
in=isa2.xu - 7/1W8 281 N. College Ave., P.O. Box 580, Fort Collins, co 80522
Voice: 970 221 6750 FAX: 970 224 6134
Job address:
General contractor:
Insulation contractor: N4((E_ I k1 UL-A--171061)
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This disclosure form is to be signed by the insulation contractor or representative of the General contracor.
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
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists — to exterior
Frame walls and rim/band
joists — to attic, garage
2
Frame floor - cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-12'1
Crawl space walls
Basement walls
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Location
Material(s) Thickness R-value (Int / ext)
4-r C
Notes
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I/We cerii'y that the above -listed insulation was installed in the buiiding at the above locations in canfcrmance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying
Siqnature:
Date:
Business Firm: �((�jL07 ►JLTrpW
Address: (Z9f7
Phone: