HomeMy WebLinkAbout933 CAMPFIRE DR - DISCLOSURES - 10/15/201306/23/201.3 18:37 FAX
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Fort Collins Residential Energy Code the building & zoni`ng dept. of
INSULATION DISCLOSURE FORM Community Planning and;Emrironmerltai Services
�wwba� mom Yet N. Cottage Ave., P.O. Boil 580; fort CdiBna. CO figS2Y
^` Voice: 070 221 6760 FAX- 1370 "A nvkA
Job address
General contractor:
Insulation contractor.
INSTRUCTIONS
This destlosure form 1a to be s,y— vy ure inswavon contractor or representative of the general"contractor.
Please type or print, except for the signature. Compiete the information in the appropriate spaces provided.
if componen's vary, make multiple entries to describe them.
One copy of this form must be provided to the Budding and Zoning Department prior to the C.O.
One copy of this form must be made avalable to the original home buyer.
InSuiaUon
LocationRatedd lemon
Materlal(sj Thickness I R-value I 'nnt r a vh
Flat m vv4ed ed8nge
with auks above
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mommommommoi��w�..`t": . _
Frame waft and A vbond
)ofab - to aaaarfor
—Frnmo wane and rbTvh"
'rats - to attic. 4at'aye
Fr v floor - rxydfavw
crawl spa araaa
Basemera warm
n
Certification
UWe Mtrfy ""'he abovo� irmrd>rtion was insWW In the building at the above locations in con{ortrtanrae with the current requirements of the
Fwt CoYan Resider iiy Energy Code. and that a was irretalled h eccMdance wflh the "insulation Guidefines' published by the City of Fort Cotrins.
Person Certifying
S nature: Date;A
lusiness Firm: S oe -7
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. , .Phone; -:03..