HomeMy WebLinkAbout5027 Northern Lights Dr - Disclosures - 04/27/2004Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
the building & zoning dept. of
Community Planning and Environmental Services
28: College Ave., P.O. Box 580, Fort Collins, CO 80522
RAI ce 970 2216760 FAX: 970 224 6134
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Insulation contractor: W I t t,-.0 CAS•�j?w
This
disc
losure
os ... ur e .. for ..... m Is ...... to be contra*......
I n..
b.. the '....... i ns 9 a Y tlon co......... ntractor or re resent • ••
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.
Insulation':
...............................
Location
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists — to exterior 0I"M —P
Frame walls and rim/band
joists — to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-12'1
Crawl space walls
Basement walls
Business Firm: 6
Address:
'"': ............. .............. . ..........
trial s Rated Location
Thickness R-value Int / ext
r�/ f
r
v
3
Notes
J
6f- 10�/