HomeMy WebLinkAbout608 KEENESBURG CT - DISCLOSURES - 12/22/2003 (2)Port Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address: („ (�'�,�, �(A v A
the building & zoning dept, of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice: 970 221 6760 FAX: 970 224 6134
General contractor: Mac'p i
L. Insulation contractor: NL
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los ur'e form is to�be sl ned b the Insulation c g Y 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 home buyer.
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Location Rated .. Location::; .:::........................
Materials 7iilckness R-value ext Notes
Fla! or vaulted ceilings
with attics above
Ceillrrna with enclosed
rafter bavilies
Frame walls and rimlband
Joists — to exterior
Frame watts and rimlband
Joists -- to attic, garage
Frame floor - cantilever
Frame floor - over garage or
crawl space
S1ab-on-gade (0.12")
r�
crawwl space walls
..+
Basement *ails '
Z
fort Ctdlfrre RitldehWl Energy Code, and that it was initaged In libcotdancu with the "Insulation Guidelines" published by thetCityuirements alto
of Fort Collins.
Person Certifylnd Job:
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