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6409 Garrison Ct - Disclosures - 07/15/2003
Fort Collins Residential Energy Code INSULATION DISCLOSURE FORM insdiscZAs — 7110/98 the building & zoning dept. of Community Planning and Environmental Services 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522 Voice: 970 221 6760 FAX: 970 224 6134 Job address: (pq General contractor: , 5� Insulation contractor: CpLU ir,� tn!'�Gtcv�y 1nSa (�� v U : INSTRU;CTION............ - :... ...... ....... This disclosure form is to be signed by the insulation contractor or 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. .............................. Insulation Rated Location Location Material(s) Thickness R-value I (Int / ext) Notes Flat or vaulted ceilings 114 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 Frame floor - cantilever Frame floor - over garage or crawl space Slab -on -grade (0-12") Crawl space walls Basement walls 0 ©rye .... ... ... el-tuficatlon ...:.:: :.: :.`;:`'::::::::...........::.:.......::::.:::'....' .....:::.::.:: ; .. ..... . ................................. I/We certify 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 was installed in accordance with the 'Insulation Guidelines" published by the City of Fort Collins. Person Certifyin ob: Signatur Date: % U Business Fir Address: 2u Q p C_.��,. 1� _ V u a Phone: t -1 6oq