HomeMy WebLinkAbout1415 Reeves Dr - Disclosures/Insulation - 07/13/2005Jul 14 2005 2:0SPM HP LHSLKJLI JdUU
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Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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the building & Zoning dept. of
Community Planning and Environmental Services
201 H. College AVG.. P.O. Box 500, Fort Colre, e, co w.0
Volpe; 970 2216760 FAX: 970 224 8134
Job address: / T%.5' If.."eyr"-T
General contractor: (AS HoM e
Insulation contractor: Co ELM► S CA5Ht4'*y
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This 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 informaton in the appropriate spaces provided.
If components wry, make multiple entries to deserke them,
One copy of this form must be provided to the Buliding and zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
Location
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Thicta►ess
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"•Rated •7Loaatixan
R value nt / ext Notes ._
Flat or vaulted callings
with attics above
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"Ungs with enclosed
ratter Cavities
Frame walls and rimroand
joists — to exterior
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Frame walls and ti nfband
joists — to attic, garage
Frame floor .caningver
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Frams floor -over garage or
crawl space
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Slab -on -grade (042")
crawl space walls
Sasemanl walls
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Fort Cotrins Residantisl Energy Code, end tstist tt was installed it aocor'dance with the •insuWion Guidegnas" published by the City of Fort Cotins.
Peraon Certifying Jo� �t/8�» /ir�i��C�' '
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Date: % — 1.?- O S"
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