HomeMy WebLinkAbout945 RIDGE RUNNER DR - DISCLOSURES - 6/23/201306023:2013 1.8:37 FAXj00021/0002
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Fort Collins Residential Energy Code the building & zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Envirommental Services
ism rczm moss 281 N. Collogo Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job address:
General contractor: yfV,s f
Insulation contractor."?
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 G.O.
One copy of this form must be made available to the original home buyer.
Insulation
Location
Flat or vaulted cedinga
with miss above
Materiai{s}
rr i?✓. -lc s� f3
Thickness
•a 7 `
Rated
R-value
12 3
Location
pntlext
I
Notes
e}
Ceilinga with enclosed
rafter cavities
,
Frame walls and rimlbarw
joists -to eKtwior
` Ea:r4 v4 Rc
.frame walls and rimPoand
lists -to attic, grra90
/'• hrr /G=
bra•r /ate' a
(
,� 5--
Frame floor, • canbtever
Frame floor . over garage or
crawl space
Slatwn-grade (e-12')
crawl apace walls_LiL
-. S k3ntt
a d .
/
Basement wails
uer ancation
VWe certify that the above -listed insulation .vas installed in the bulding atthe above locations in conformance with the current requirements cf the
Foit CotCins Residential Energy Code, and that it was 4installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying
Date:
susmess t-irmr :Z>
Address: S`lt/S �rpo.E't,L-u. Unlit C--
L tiy�Jai �t C /iv Phone: �20 3-3 - �c _t�