HomeMy WebLinkAbout6462 Tilden St - Disclosures - 08/21/2003FFllins Residential Energy Code
TION DISCLOSURE FORM
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Job address:cr—
General contractor: r 7cr1 j r
Insulation contractor: _ ►.
the building & Zoning dept. of
Community Planning and Environmental Services
Voice:
N. Cortege Ave., P.O. Box SW Fort Coning, CO 80522
Volce: 970 221 67e0 FAX: 970 224 6134
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INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor or rePresentative
Please type or Pont except for the signature. Com p one of the
If components vary,plete the informatibe them.on in the appropriate spaces
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One copy of this form must be provided totthe B cri ing hand Zoning De
One co _.
py of this form must be made available to the original home buyer.
partment prior to the C.O.
Insulation
Location
Flat or vaulted ceilings
with attics above
CeNings with enclosed
ratter cavities
Frame walls and rimlbwW
joists — to exterior
Frame Wang and rinVbWW
joists — to attic, garage
Frame tbw. . emolevar
Frame floor. Ow 0
wago or
crawl space
Slab-onyrade (012-)
craM space walls
Basement wails
Thickness Rated Location
R-value I (Int / exti
.,
Notes
Certification _ —
UWe certify that the insulation was
Fort Collins Residential EnergyCode, and in the building at the above focafions in
Person Certifying wa nstalled in accordance with the "Insu �o�n0e with .the currerrt
rtifying Jo -Insulation Guidelines published f equtreFort c of the
by the City of Fort Coning.
3ignature. _ _
3usiness Firm:
Date: