HomeMy WebLinkAbout6303 CARMICHAEL ST - DISCLOSURES - 5/1/2003 (2)Fort Collins Residential Energy Code the �`U'y"�'M�"� Z�M'M�^��nf ��
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INSULATION DISCLOSURE FORM Community Planning and Environmental Services
in"=,c2_V"_=0/95 281 N. Avw,Po.Box sao Fort Collins, 0000szz
Voice: smzz1 6760 FAX:y70 2246134
Job address:
General contractor:
Insulation contractor
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Thisdisclosunefonnistobosignedbytheinsulabononntructororrepresentatveofthe - |xmora|-'���-----------.~~~^~^~^=~
Please type orprint, except for the signature. Complete the information intheappnoprispaces provided.
If components vary, make multiple entries todescribe them.
One copy of this form must be provided to the Building and Zoning Department prior to the C.C.
One copy ofthis form must bwmade available tothe original home buyer.
Location Material(s) Thickness i ... R-'v'ai'ue ..... (I nt / ext)
Notes
Fiat or vaulted ceilings
with attics above )O� I
Ceilings with enclosed
rafter cavities
Frame walls anurmmuanu
joists—uoexte,p, U |
Frame walls and rim/band
joists — to attic, garage
Frame floor - cantilever
Frame floor 'over garage or
crawl space
Slab -on -grade (0-1211)
Crawl space walls
Basement walls
INVe certify that the abcve-�isted insulation was installed in the building at the above I'o**c"at"'on"s' ... iin' con'fo'rmance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Ccilins.
Person Certifying Job #
Business Firm:
Phone: 1011