HomeMy WebLinkAbout806 SHORE PINE CT - MISCELLANEOUS - 3/22/2001 (2)MAR-20-2001 TUE 11:45 AM FO BUILDING AND ZONING
FAX NO. 9702246134
P. 02
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
Job address:
General contractor:
Insulation contractor.
. .
iiUSTRUelTI N$:s3:
This
disclosure
c as -
ra form ........ rm is to b ... e signed ........ fled b the i
9 Y insulation co ....
Please ntraCtor or representative of the general contractor.
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.
the building & zoning dept. of
Community Planning and Environmental Services
281 N. Cotkge Ave., P.O. Bat 580,1--ort e4ina, CO eos22
Vdca: 870 2216750 FAX 970 224 6134
4-
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rlm/band
joists_-. to -exterior
Frame walls and rlm/band
joists - to attic, garage
Frame floor • cantilever
X
Frame floor - over garage or
crawl space
Slab -on -grade (0-12'1
Crawl space walls
Basement walls
Rated
e certify
that the above listed insulation was Installed in the building at the above location6 in conformance with the current rtegtdrements of tics
Fart Collins Residential Energy Code, and that it was installed in accordance with the'lnsulaticn Guidlde4nea" published b the City of Fort Coif t
Person Certifying Job: Xe-IIIa jib, IL /
fH n I