HomeMy WebLinkAbout5809 Big Canyon Dr - Disclosures/Insulation - 11/10/2014E
ollins Residential Energy Code
ATION DISCLOSURE FORM
C 2,1—]1o9a
Job address:
General contractor:
Insulation contractor:
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CC 80522
Phone:, 970 221 6760 FAX: 970 224 6134
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 components 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
Flat or vaulted callings
with attics above
Ceilings with enclosed
ratter cavities
Frame walls and rimlband
Joists -- to exterior
Frame walls and rimlband
joists -- to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0-12")
Crawl space walls
Basement walls
rd
Rated I Location
COrtifiCBtiorl
I/VVe certify that the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code.
,6and
/that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying -Job: ,11 JJI �' %^n n A .!//
061 .7