HomeMy WebLinkAbout421 Osiander St - Disclosures/Insulation - 02/25/2015Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor.
Insulation contractor.
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 676o FAX: 970 224 6134
L & L Insulation, LLC.
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 One
copy of
vary, make tmultiple
be p o entries to describe them.
One copy of this form must be provided to the Building and Zoning Depa prool to
One copy of this form must be made available to the original home buyer.--029
I % 198
Iinsetlaiion
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame wails and rim[band
joists —to exterior
Frame walls and rimrband
joists —to attic, garage
Frame floor - cantilever
Frame floor - over garage or
Crawl space
Slab -on -grade 10-1ZI
Crawl space walls
Basementwalls
Rated I Location
certification above
in the building at th
FotCollinsdResidential Energy Code and thathat the above -listed insulation t it wasl installed n accordance ewith the Insul IIon Guldellne p blllshed by the City of Fort Collins.
Person Certifying Job:
Business Firm: L L su afro LL
Address: