HomeMy WebLinkAbout3933 Oak Shadow Way - Disclosures/Insulation - 01/04/2016Fort Collins Residential Energy9Y Code Neighborhood &Building Services
DISCLOSURE FORM
'nC01eC2'^• --1'noree 261 N. college Ave., P.O. Box 580, Fort Collins. CO 80522
Phone: 970 2216760 FAX: 970 224 6134
3J 1
Job address: 15
General contractor: R W
Insulation contractor:
INSTRUCTIONS
This disclosure form is to be signed b
If Please
type or priny the insulation contractor or representative of the general contractor.
components t, except for the signature. Complete the information in the appropriate spaces provided.
ponents 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 cellinge
with attics above
Collings with enclosed
rafter cavities
Frame walls and rim/band
Joists -- to exterior
Frame walls and rim/band
Joists -- to attic, garage
Frame floor - cantilever
Frame floor - over g
arage or
crawl space
Slabon-grade
Crawl space walls
Basement walls --�r
Van
Rated Location
Certification
INVe 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, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person rp- 1 - p �� G n �� �) / A
Signature• � a 7 i7 � l 7!-ti`- r (t�
(71
to - 5000