HomeMy WebLinkAbout1208 Bordeaux Dr - Disclosures - 07/15/2003 (2)Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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General contractor. PL• J
Insulation contractor: A 1 10'e �y�SV �o�t arm
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Sox 580, Fort Collins, CC 80522
Voice: 970 221 6760 FAX: 970 224 6134
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I:N:STR.0 CTI:O NSs: .........................................................................................
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i his 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 farm must be made available to the original home buyer.
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Insufation
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Rated Location
Location Material(s) Thickness R-value (Int / ext)
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim/bands
joists — to exterior
Frame walls and rim/band
joists — to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
Stab -on -grade (0-12")
Crawl space wails
Basement walls
Notes
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Me certify that the abave-listed insulation was installed in the building at the above locations in conformance with the current requirements of"he
Fort Collins Residential Energy Code, and that it was instilled in ac.:ardance with the "Insulation Guidelines" published by the City of Fcrt Collins.
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