HomeMy WebLinkAbout1403 Leahy Dr - Disclosures/Insulation - 05/11/2005May 12 2005 5:02PM HP LRSERJET 3200
Fort Collins Residential Energy Code
Fort
DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor:
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the building a zoning dept. of
Community Planning And Environmental Services
261 N. O fte Ave., P.O. Borg aso, Fort CWIWG. CO SM22
Vole e: SIM 221670 FAX- 970 224 6134
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This disclosure form Is to be signed b .
g y the insulation contractor or rtipresentative of the general contractor.
Please type or print, except for the signature. Cornpiete the information in the appropriate spaces provided.
If components vary. make multiple entries to describe therm,
One copy of this form must be provided to the EMkNng 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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Location
Materials
Thickness
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R-value
Flat or vaulted celnngs
Loev
nt /. Notes .•
with attics above
bffrdrt.
3
Collings with anclosed
rafter cavities
Frame walls and rimMand
jolsis —to exterior
16 ILI
Frame walls and riadband�
N
lolsts — to oft. . serge
Frame floor-eantiieva
%9
=rams floor -over garage or
:raw) space
;lab•on•grade (0.12')
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7rawt space wan:
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tasemani walk
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Uwe CNN lhatThe a _ bovtr-h ....... t:Led inaulatio - ,�..
retailed In the Du ..fit.' .... ..... -
Foat Collins Residential Energy Coda and ihat it was Installed in aocq damp w)Ih the ,cation bion G �orm�a VA the currant rquhments of •the
u)dainat" Published by the City of Fort ColAr►a.
Person Certifying Job,
Signature:
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