HomeMy WebLinkAbout1409 Reeves Dr - Disclosures/Insulation - 08/08/2005Aug 23 2005 7:58AM HP LASERJET 3200
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Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address;
General contractor:
Insulation contractor:
the building dl zoning dept. of
Community Planning End Environmental Services
201 N. College Ave., P.O. !loot 5W, Fort Cokle, Co so522
Votoe; 970 221 Q7a0 FAX- 970 224 813/
This disclosure form Is to be signed by the insulation 00fdraactor or representative of the general a g onhecto�
Please type or print, except for the signature. Compl*W the Information In the appropriate spaces provided.
It components very, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department priorto the C.O.
One copy of this form must be made available to. the original home buyer.
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Location
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Materials
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•.jhieknesa.. .:•:listed... . _Locitlon ...:.:......:.....}:r::::;::�:.�::::............._.........
R•valus fffit / aNotes
Pie or vaulted callings
with attics above
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12 _ 1, a Lots
Ceilings with enclosed
rafter cavities
Frame walls and rin*wW
Joists —to exterior
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Frame walls and rlmlband
Jolsts — to attic, garage
to '/
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Frame floor -cantilever
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Frame floor • over garage or
crawl space
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Slabon-grade (o•12")
C rawl space Volts
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e ceffythat the abova4dW insulation was Installed in iha bu4 `: ;,�..... _ _ _,,.......,,;,.. :.._.,.;
Fort Collins Rasidarrdel En dln0 a! Ute above looallons in trorMom►snea witFi 1h as tart! requlnirisrofs of he
Energy Code, and that Itw" IrMalled In accordance wilh.the "Insulation G&Loise ti,hs.N~ 4 r.., A— 04.. -9 r_
Phone: b (v `I - b ON