HomeMy WebLinkAbout626 ATWOOD CT - DISCLOSURES - 7/30/1999 (2)Fort Collins residential energy code 7196
Insulation disclosure form
Job address:
General contractor:
Insulation contractor: bu_tT-_LN J r.��Ut 11TlOf�i
Location
Materlal s
..............................................
Thickness
........................
Rated
R-value
..................... ......................................................
Location
Int/ext Notes
Flat or vaulted ceilings
with attics above
t
Ceilings with enclosed
rafter cavities
t
-
Frame walls and rim/band
Joists —to exterior
- 1'
-
Frame walls and rhnlband
foists — to attic, garage
o%w^ .
Z
Frame floor - cantilever
g4if:�
Frame floor -over garage or
crawl space
Slab -on -grade (0-12")
Crawl space walls
1
`>rZ_'I..
Basement walls
t�Nt
3'
...
Certification. i:....
Imo eerily that the abov.e-listed Insulation was installed In the building al the above locations In conformance with the
current requirements of the City of Fort Collins Residential Energy Code, and that it was Installed in accordance with
the applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: Phone: LOCI-h— Z(Qk-[j 1_3
Business firm: t� / �jM G_ Date: 74N-J
Address: i 110,U S/ he 1 Signature:
L ! fl
Gfr .. 7 a.. :
.. ...........
form Is to be signed by the Insulation' contractor or representative of the General contractor.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final Inspection.
One copy of this forth shall be provided to the homebuyer.