HomeMy WebLinkAbout4808 Caravelle Dr - Disclosures - 05/11/2004Fort Collins Residential Energy Code the building & Zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Environmental Services
euaisc2.xs-7MOM 281 N. College Ave., P.O. Box 580, Fort Conins, CO east?
Voice: 970 =1 6760 FAX 970 224 6134
Job address:
General contractor: I?
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Insulation contractor:
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i his disclosure form is to be sioned by the insulation contractor of representative of the general contractor.
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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:1ns'ulati.
Location
Flat or vaulted ceilings
with attics above
Frame walls and rim/band
joists - to exterior
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
Easement walls
Materials
Rated...,::ocation•: L
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ess R-valve I (lnt / ext)
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Notes
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Certrficati...................
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I/We certiry mat the abcve-listed insuia5cn was ins�llea in he guiding at4he above leca5ons in confcrmance with the current recuirements of e
Fort Collins Residential Ener;y C and tt•,at k was installed in accordance with the "InsuI tics Guideiines" published by the City of For Cedirs.
Person C40A#yinv-,Lpb:
Sicnature•
Date: 5-11 i
Business Firm: --
Address:
Phone:(¢