HomeMy WebLinkAbout6227 CARMICHAEL ST - DISCLOSURES - 11/10/2005 (3).+....: ,. :w .y....,•tA. +i'S'. ye.. .....,..:� r - :v.... ,_.. y ' I' I.. - I I- ..,y.R
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Fort Collins Residential Energy code the bui (ding & zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Envlrcrunental Ssrvlcas
v*dK02.ats - Haas 201 N. College Ave., P.O. Hex S60, Fat Collins, CO W=
Voiw: 970 2216760 FAX: 970 224 e134
Job address:�n./✓/YKi t--l_
General contractor: _ 14 ✓l 17/ P!1 ,*—S
Insulation contractor: r1l e..{- e> I�
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 homwbuyer. •
Inatdafinn 0 ,
- - --- -- - -
Location
Material(s)
Thickness
Rsb¢d
R-value
Locatbn
pntIeaxt) Notes
Fiat or vautted osllings
with attics above
r k f fr 4 L
Cailirgs with enclosed
ratter cavities
Frame walls and rim/band
joists -to exterior
u G t
S
{
U N q c -e-
m
Frerne walls and rinubend•
joists -to attic, 9we" .
iQ• + 7777
France door - cantilever
Frame.tloar • over garage or
crawl space
stab-on•grade (042")
Crawl apace wails
Basement walls
id�(n �} a Vl v1
CertlficaUon
IMle certify that the above -listed insulation was fnstalied in the building at th0 above locad6ne in conformance Ath the =w t requirements of the
Fort Collins Residential Energy Code, and that it was installed in noeordanaa wRh ft "Insulatlon Guld*Hn"- published by the City of Folt.Colilrm.
Person Certifying Job;,l 04 Z Z Q ✓1 O
Business Firm:
1, M 4
.1rre'c'm W000/ 1/,71'g9t •G� .?Oltl Phone: 303 Y?6 SDOO