HomeMy WebLinkAbout962 Trading Post Rd - Disclosures/Insulation - 02/15/2012E511 cq O :j�>2
Fort Collin VResidential Energy Code
INSULATICIIJ DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor:
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Avo., P.O. Boa 58D, Fort Collins, CO 80522
Y,oico: 970 221 6760 FAX: 970 224 6174-
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INSTRUCl'IONS
This disclosureform 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 tnis form must be provided to the Building and Zoning Department prior to the C.O.
One copy of Inis form must be made available to the original home buyer.
Insulation
l.nration
m
Flat. or ,auftad•xilings
wish attics alone
Materials)
Thickness
Rated
R-value
location
Lnt I ext)
Notes
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rg
ceilings with enclosed
rafter cavities
..
Frame walls and riffvb u d
jam - to eaterkr
r
!
Frame walls, an•i'rimnsand
vm -to aide. garage
Jf
Frame floor •canlil<ra
_--
_..
,.
Frame floor • m-er garage or
car l space
Slabon gtade (0.42-)
crawl apacaw•slh
Basement walls-.
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...
Certification
IANe unity Net the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of the
Frill CollinsRee:idential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City at Fort Collins.
Person Certttying Job: >
Signature: a Date: car t f
lusiness Finn: //ice C r� ,(l�� A./t��JS (JA(. q % /0/V� 1 f��
Address: _.. 1 5 3191" 1 b LAM l L) N( r
Phone: 363 79g�165�
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