HomeMy WebLinkAbout1809 KEEL CV - DISCLOSURES - 7/17/200607/21/2006 03:32 9706672429 FOOTHILLS GUTTER PAGE 01
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rtCollins Resideii�ntial Energy Code the building & zoning dept. of
SULATION DISCLOSURE FORM Community planning and Environmental Services
r >ta _ �^ aoe 261 N. Collage Ave.. P.O. am 500, Fort Collins. CO 60522
Volvo: 070 221 6760 FAIL: 970 224 6134
Job address:
General contractor:
Insulation contractor: _ l►#lllS ^� e
INSTRUCTIONS
This disdosure farm 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 r:dlings
with ✓Allies above
callings with eneloaad
rafter esvfthra
Frame watia and rim/hand
Joists - to exterior
Frame wade and rim/bond
Joists - to atlic. garage
Frame floor - oantitswr
Forms door - over garage or
crawl spew
stsbonyrade (6-12")
crawl apses walls
amement walla
Rated I Location
R-value (Inn Notes
Certification
UWe certify that the above -fisted insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Enargv CgderairrFM ULwas installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person
Date:
Address... ��/1wil ---
` Phone: 0 6