HomeMy WebLinkAbout1674 Falcon Ridge Dr - Disclosures - 04/08/2004Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
inswzc�.xls — 7/1W8
Job address:
General contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CC 8052-2
VoicaL970 =1 6760 FAX: 970 224 6134
insulation contractor:
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This disclosure form is to be signed by the insulation contractor or (ppresentative of the general contractor.
Tease 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 iDepartment prior to the C.C.
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One copy of this form must , be made available to the original home Ouyer.
Ceilings with enc!osed
rafter cavities
Frame walls and rim/band I Lp -10
joists — to exterior
Frame walls and rim/band I I Z D
joists — to attic, garage La CL, L Ci_D) '�L,� I G ((7 1
Frame floor - cantilever 11 utuA os_ I I-7__ I Cl C
Frame floor - over garage or
crawl space
Slab -on -grade (0-112")
Crawl space walls 11 1
Basement walls
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Me cardry that the above4st ted irsu!aticn was ins --fled in the t_'Uiding at the above locations in =nfcrr;-,ancs with the current requirements of t%e
For', Ccllir.s Residential Energy Code, and that t itw2s installed in accordance with the *Insuiabcn Gui-deiines" published by the City of Fcrt Ccilins.
Person Certify* Job:
Sionature:
Business Firm: 1(06,x'ATIM
Address: Z c, Cl d
Phone: C?(o'z -Cioq