HomeMy WebLinkAbout5403 Roma Valley Ct - Disclosures - 10/15/2003 (2)Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
MOW
Job Address:
Qencral contractor:
Insulation contractor,
J W.R.W:G
AnM1'A NAY,\!� ytLn J�(V�(•Nr•YAY/A/1:`.;
This disclosure form Is to be signed b the Ins �" 6%Ys\'•'• ��:G:>�i:o
Please type or print, exec y u contractor or representative of the general contractor,
except for the signature Complete
ete the Information In the appropriate Spaces provided,
It components vary, make muftfple entries to despibe there,
One copy of this form must be provided to the Building and Zoning Department prior to the 0.0,
one copy of this form must be made avallable to the original home buyer.
I r1l 3.4'
the building do zoning dept, of
oommunny planning And Environmental services
281 N. We" Ave,, P.o, t3ooc Iseo, Fort cotane, co aoszz
Vo{o� 070 221 67e0 FASL coo o�� a,a.
Locatlon
Flat or vaulted ceilings
with Allies above
Ceilings with enclosed
rafter oavltlea
Frame walls and rhn/band
Joist:.. to exterior
Frame walls and rlmrband
jolsts — to attic, garage
Prime noor . cantilever
Frame floor • over garage or
crawl span
Slab -on -grade (g•12'� .
VWe 0erl7fy tilt 04'6:x:&u
abOVe-it%d hiu
Fort Collins Resldenta) EAsrW Code'
Person Certifying
was iru4lNd In thi bul{dj..,..•:::.....•:.:, �• :•.:, y:;n,•\,;Y:;:;;:;;:;:;::`:icti:,`.� `•;:; �::./ '.:`.r>,';:;;,:v::" / ,
nA at the above bcatforie In oonforttt :.k•, �;; .
k was Installed In aocowancae with the In
onrtx roe• ..w(th the current roq�rernents of ,e
published by the city of Fort Cotass