HomeMy WebLinkAbout6014 Snowy Creek Dr - Disclosures/Insulation - 01/12/2012Jan•12. 2012 1:26PM 9706672971
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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
281 N. College Ave., P.O. Box 5W, Fort CONns, CO 80522
Voice: g70 221 6760 FAX: 970 224 6124
Jobaddress: holy S Cep je
General r:ontractcr:
insulation contractor: Qf.
INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please hfpe or print, except for the signature. Complete the information in the appropriate spaces provided.
If compcnents 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.
Insulation a I I Rated I Location
Flat or vaulted ceilings
/5
with attics above
Ceilings with enclosed
Miter cavities
Frame walls and nawband y
ioists — So exterior
Frame walls and rim/band
ipints -- to attic, 9MVP
Frame floor - cantilever
Fronts floor - over garage or
crawl space
slab -an -grade (M12")
crawl apace walls
Basement walla
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FA
CerlVicatlon of
Wye certify that the above -listed insulation was installed in the building at the above locations in conformance with the current regci{Gf Fort Colltclse
Fort Collins Residential Energy Code, and that a was installed in accordance with the 'Insutation Guidelines' published by ttie Ciy
Person Certifying Job:=
( Ao� r 1 Date:
Business Firm: �3cc�tp'otxf c-v�°0G
Address: /o/C� Iwi ., � Ssnl /7nc.J�� �wr'/
Phone: 9AV -60 7 .-1171