HomeMy WebLinkAbout908 CAMPFIRE DR - DISCLOSURES - 12/15/201306/23/2013 18:37 FAX
IN002/0002
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
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 BuDd rig.and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
Insulabion
the building & zoning'<dept. of
Community Planning and Environmental Services
281 N. Cofoge Ave., P.O. Box Sao Fat Coigrm. CO $=
Velee' frM "4 97M Ce Y. mm "I
Location
Fiat a vowed cel ngs
mks above
Mateda s
• -i 'r iflf' C)'b'Jwhh
d
lue
t aeatlon
nt! Notes
P(=c ai-cetengs
viler ancbead
rafter eavklee
�' {' r' .t'kww
Frame waft end nmrfaarrd
- Eo arm for
� r�, ,C HI.Frame
J'Iclu�R
.
walls ow rbnbard.Mate-to aft, garage
Frame near • eanmaver
Frame noon - over garage or
crwN apace
sab.on.grade lalrl
Crawl apace wafe
sawnww wens
I We F
t `
1 ertiticatton
Me cw* that the oboverl sW inardation was n
Fort Cons Reoideruial Energy Code, and that $
Person Certifying
c_
U
In the bwldmg at the above locations in conformance with the current 'requir ements of the
tailed In acoordanoo with the "Insulation Guidefine;e0ubished by the City of Fort Collins.
— Yyyor Cza cS'nr%yCv Phone -4)3 0'?R -/6 S" -