HomeMy WebLinkAbout3814 Rock Creek Dr - Disclosures/Insulation - 12/14/2011MAR-26-2012 19:36 From:3032987229
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Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor:
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the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O, floc 580, Fort Coffins, CO 80522
Voice: 970 221 8780 FAX 970 224 8/34
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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.
Insulation
Location
Flat or vaulted 6dsngs
with attics above
Ceilings with enclosed
ratter cavities
Frame walls and rimAmW
joists - to axterlor
-,Frame walls and rknlband
gists —to attic, garage
Frame floor - eardilever
Frame floor - over garage or
crVA space
Slab -on -grade (Q-12y
Crawl Spars walls
aasernem walls
Rated I location
Thickness R-valua (Int I ext)
(EV
Cer t fication
IIWe certify that the above4isted insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and _&rd 0 was installed in accordance with the'Insutafion Guidelines" published by the City of Fort Collins.
Person Certifying
Phone: d '"�Ip 5(0