HomeMy WebLinkAbout418 Linden St - Disclosures/Insulation - 01/05/2015143RN 15 1e':Fi<flPt
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
InsQur2x's — 711olea U A
Job address:
General contractor:
Insulation contractor:
Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
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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 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.
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Location
Materials)
Thickness
Rated
R-value
Location
lintlext)
Notes
Flat or vaulted ceilingswith attics above
Ceilings with enclosed
raftercavities
--_- __---
Frame walls and rimlband
Joists — to exterior
f eri a r S
Frame walls and rimlband
Joists —to attic, garage
Gi P �L
r
',
Ch �r s'c
Lt .l l
—
Framefloor- cantilever
Framefloor- overgarageor
crawl space
-
Slab -on -grade (0.12")
Crawl space walls
Basement walls
ed In the
ding
the above
ons in
ance W
h he
ent recluirements of the
Fort Co li s Residential Energy Code, and that itation was wasinstalled Inuacco dance with the" Insulation Guidelines"
published byrthe City of Fort Collins.
Person Certify,] g Job:
Date: _ 5
Business Firm: ]L S 2 Y., C Jl% F r 1 r (JvL