HomeMy WebLinkAbout1320 SUNFLOWER DR - DISCLOSURES - 7/8/2003 (11)Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CC 80522
Voice: 970 =1 6760 FAX 970 224 6134
Job address: -i3ao
General contractor. fli-S
Insulation contractor. A) i, Pd A S ►► a �i --
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T his disclosure form is to be signed by the insulation contractor or representative of the aeneral contractor.
Please type or print, except for the signature. Complete the information in the apprcoriate 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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Rated Location
Location Materials) ) Thickness 1 R-value (Int / ext) I Notes
Flat or vaulted ceilings
with attics above 11 1 1 J`►
Ceilings with enclosed
rafter cavities
Frame walls and rim/band I �t .2%
joists — to exterior
Frame walls and rim/band
joists — to attic, garage
Frame floor - cantilever
go
Frame floor - over garage or
crawl space �� a�` 1
Slab -on -grade (0-12")
r
Crawl space walls
Basement walls
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IM/e certify that the above -listed insulation was installed in the building at the above locations in c&nforrtance 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 Fcrt Collins.
Person Certifying Job:
Signature: —
Business Firm:
Address:/ 2 a S. C f .e ✓-do t d
Phone: 7 .p — 9Df