HomeMy WebLinkAbout1403 Reeves Dr - Disclosures/Insulation - 07/20/2005Jul 20 2005 2:01PM HP LASERJET 3200
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
P.
the building A zoning de.pt, of
Community Planning and ft*01`11'ribrital SOMM3
281 N. College ",, P.O. 8= 580, Fort Collins, 00 Ila=
Voice: 970 221 6780 FAX. 970 224 e134
4-
General contractor: (AS Ho en try
Insulation contractor. 0 &. Ieiv r C44S 011' ' 04
This disclosure form Is to be signed by the Insulation contractor or represertative of the gener4l contractor.
Please type or print except for the signature.. Oomplete the Information In the appropriate spa0m provided.
It components vary, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Depwiment prior to the C.V.
One copy of this form must be made available to the original home buyer.
....................... ------------ ... ..... .. ............ ..........................
.......... A-t ..... ............
........ ........�: ......................; .........................................X...
Location
"� c. .��K .1...................
...*..-.,..,...-.,..!..-...*!....,..,*........-,.........-.,--,..:.....**,-.,.,.�.,-,.�,..,.......
Material Tt
........................... .T...M...........1..1.W..... ........ . ... ................ . .....
WAI......
Rat LdOwdon=.W
lue I ext Notes .
Flat or vaulted ceilings
with allies above
LOW
8 AVV
Collings with enclosed
ratter covitles
Arnme, walls, and rimfband
jol atit -to exterior
NA Ir _r
Fromewalls and r1rolband
jalft - to attic, amps
Framelloor . cantilever
F
Frame floor -over garage or
craws space
SAM=
Slab -on -grade (0421
Crawl space walls
f9asernent walls
Uwe 4wftthat the above -listed lnsulalionwas kawwinthe bmnow_thaabove locations in ... ih;'
Fait Collins 1194dardal Erwrpy Code, and that it vm Installed in accordaroe w1h the, winatdaon WdWkin- Published by the MY of Fort c;oium.
Person Certityl -7-2
J _0-0�r
Signature: mv'_ Dabpate:
Business Firm: &Ae.#W5
Address:
phon't: Ob 5b 53 (q%l 60- 601