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Home My WebLink About1021 Trading Post Rd - Disclosures/Insulation - 05/31/2011E ollins Residential Energy Code the building & zoning dept. of ATION DISCLOSURE FORM Community Planning and Environmental Services MwMrZ S- rr'W3 281 N. College Ave.. P.O. Box 580. Fort Collins. CO 80522 //� r �t� Voice: 970 221 67M FAX: 970 224 6134 Job address: /V� ( —IPC -POST General contractor: D, Z HOte To t-J Insulation wrrtractor. 5600C 7 j/U 5 U L,- 7—I&A/ _ �-- INSTRUCTIONS 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 information in the appropriate spaces provided. If component, vary, make multiple entries to describe them. One copy of this form must be provided to the Building and Zoning Department prior to the C.O. One copy of this form must be made available to the original home buyer. insuiatioin Location Materials Thickness Rated R-value I Location gnt 1 ext) Flat or vaulted ceifings with attics aw%*! 67735 G E?- L4 I V- 7 Fr Low Ceitings with enclosed ratter cavities A/ Ift Frame walls afar rimJband joists - to exterior 6LASS , 5 / Notes Frame walls aml rim/band .1ists - to attic. garage Al n ll- 6 f , S.-,I, r -- 15"' Frame floor - ca ltileverP PT! Li4 Frame floor - ow-r garage or Crawl Space 1(% Slab -on -Wade f0-12'1 A" Crawl Space wa l2 t f �+ "WA '--57 7a ±y Basemem wans 7jlFa; -7-7 7, ✓ 7181 77- 1 , X 1 i Certification UWe cenify that the above -Listed insulation was installed in the building at the above locations in conformance with the current requirements of the Forl Collins Residential Energy Code, and that it was installed in accordance with the'Insutation Guidelines" published by the City of Fort Collins. Person Certifying Job: Ic-q/ IeD r &Z -s Signature: i✓-�""" Date: lusiness Finn: iC N5 U L4 TroN Address: Og5 6&RDWA Y ON i r C. Phone: 36 5' .,2q,5 r 16 S( In 5/6/11 Called :.. 5/ 10/ 11 Requested For 5/10/ 11 ,Meet. Scheduled 1:30 PM' Meet Time BP SANITARY SEWER SYSTEM N2 011571 Boxelder Sanitation District 3201 E Mulberry St:, Unit Q PO Box 1518 Fort Collins, CO 80522 (970) 498-0604 fax (970) 498-0701 bsdacctg@boxeldersanitaton.org OWNER/CONTACT: JEREMY/BACKHOE EXCAVATING PHONE:. 303-775-5228 SERVICE ADDRESS/LOCATION: 1021 TRADING POST RD LOCATE SERVICE CALL WORK ORDER REASON: Reasonable effort has been made to accurately locate the center of Boxelder Sanitation District sewer tines in the vicinity of the service address as requested and these have been marked on ground surface with green paint The sewer location markings represent approximate horizontal location of the sewer (accurate to within 18 inches in either direction). Depth is estimated to be Always use caution when excavating near any utility, and exposed pipes so that pipes are not damaged and pipe bedding disturbance is minimized. Sanitary sewer service laterals extending from the District sewer line to individual buildings are not the responsibility of the District and have not been located. XX NEW SERVICE LATERAL INSTALLATION INSPECTION 1. Connection to sanitary sewer collection system cannot be made until a Wastewater Discharge Right is purchased from the'District; 2. District saddle set charge includes labor, equipment, and tap saddle connector to drill the collector lineand fasten the saddle connector to the collector line.. Permittee may NOT, under any circumstances, attempt to penetrate main collector lines or manholes without the consent of the. District; 3. Locator wire is required for burial along the service line for future locating of the line; 4. Penmittee shall provide all excavation, shoring, dewatering, service line materials and labor for installation of service line to main connection, and bacldill as required by the District, Federal and State requirements, and applicable Building and Plumbing Codes. No excavation; shoring, dewatering, or backfill work will be done by the District, and the Manager or his agent will require any additional excavation, shoring, or dewatering of the excavated space that in his judgment atone is necessary before adequate inspection may be safely accomplished and approval of the service line installation is granted; 5. The District requires that all service lines be installed such that future use of the service line will not contribute inflow or Infiltration of groundwater to the collection system due to improper connections, grades, bedding materials, placement, or pipe material. The .District will require correction of any improper connection through its' enforcement authority; 6. Permittee shall notify the District at least 48 hours prior to when the service line is expected to be installed and ready for inspection and connection; 7. The District shall not be subject to any liability for any deficiency or defect of service line materials or installation which is not discovered by inspection nor shall owner or permittee be absolved from liability for any deficiency or defect of service line materials or installation and any resulting damage or from responsibility to correct such deficiency or defect. The District does not assume any obligation not acquire any liability for personal injury to any party or damage to the connecting property or any portion thereof caused by or resulting from any such connection to the wastewater dolledon acid treatment system; _8. The District requires payment of a construction inspection charge for this inspection. Type of Pipe: _ -SO k ' 35 PyG Pipe Bedding Material: SaUp e Installation Satisfactory? Disconnect Valve Satisfactory? _� Pipe Slope Adequate (visual)? Pipe Bedding SatisM77 Locator Wire P rly Placed? Inspected By: Date'. For Boxelder Sariftaild District .K. TO BACKFILL Date: 577ZU 1/ District initial:, �Il%CS O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date: i9 - S'/l District Initial: SAI&_' By signing, I acknowledge having read and .understood the forgoing and acknowledge receipt of a copy of'this form. Received by: Date: