HomeMy WebLinkAbout563 San Juan Dr - Disclosures/Insulation - 05/01/2012Fort CoWins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job add
General contractor
Insulation contractor.
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This disdosure form Is to be signed by the insulation contractor or representedive of the general contractor.
Please type or print enqA for the signature. Complete the Information In the appropriate spaces provided.
If components very, 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 dopy of this form must be made available to the original home buyer.
the building & zoning dept. of
Community Planning and Environmental Services
28161. Cottage Are., P.O. 9M SM Fort CoMik CO 80522
Voice:=221676D FAX97o=4e134
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Location
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Material s
Thickness
R-yalue
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Notes
Flat ov Vaulted coUbW
attles
L)
Ceilings with oxfosed
rafter cavities
Few* Wails and rbnrmd
joists — to exterior
E 00c-iAoir W04 )616%j-
or W64 0 Lu
Frame waft and damband
joists-toattirgarme,
t<r)aC-(L)cj1A 130i-14
3 1/2_
Knc-c- I i ja 11 l7jQ-k+
Frame floor -cantilever
Fnane floor - aver garage or
crawl space
Slabo"rade to-Irl
Crewt since wans;
easement waft
17?-
UVW8 Certify that the above -fisted insulation vies I ' 11 "Infobugftgdliig—bumbca�incmftnmneewNhImcmwt-n-q*Ldn—mis—nisa�f�t-'b�
Fort Coffires Residential E,rmW Cockk and that 1twas instaIed In accerdance vMft %wAstion GuideNwepublished by the Chy of Fort Colins.
Person Certifying Job:
V
W13
Date: 0 & lot I. ao la
Business Firm:
Address: C--->o
Phone: