HomeMy WebLinkAbout6802 NIMITZ DR - DISCLOSURES - 6/22/2009FFo"llins Residential Energy Code fihe bUlIding $ ZOn1119 dept. Of
TION DISCLOSURE FORM Community Planning and Environmental Services
OWdec2.=-7/10% 281 N. College Ave., PA. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX 970 220 6134
Job address: 1A 2)17Z Nirn-IT
General contractor: eo.4,oJ ii
Insulation contractor. �o2(�orrl 1nEyj U.i-
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 Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
Insulation
Flat or vaulted ceilings
with attice above
110
Ceilings with enclosed
ratter cavities
Frame walls and rim/band
joists - to exterior
Frame walls and rim/band
joists - to attic, garage
Frame floor- cantilever
Frame floor - over garage or
crawl space
Slab -on -grade (0.12")
Crawl apace walls
Basement walls
,"1 5
5.d-D
Rated I Location
Notes
Certification
Me certify that the above-Ilsted insulation was installed In the building at the above locations in conformance 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 Collins.
Person Certifying Job: n tan J �r0�of
Signature: Date:
Business Firm: b`oe ' LA),
' r1 :Z A&LI
Address: i 001O �i� (/�d„b/� 6►vi0
Lcue`aryj L61c),-NAO Phone: G 70 - Sr(�7 Zol a
i 'd 6 Z L L ' 0 N IL6ZL99OL6 WdIZ:Z OIOZ '£Z'unf
Fort Collins Residential Energy Code the buiiding & Zoning dept. Of
INSULATION DISCLOSURE FORM Community Planning and Environmental Services
ubadla� - �naee 281 N. College Ave„ P.O. Box 580, Fort Collins, CO 80522
Voice: 970 2216760 FAX: 970 224 6134
Job address: 8n2 N rrni i on iT L4 C i oZ
General contractor. Car %locJ
r
Insulation contractor:�o� r�1fy,� Cti�ul1
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 Building and Zoning Department prior to the C.O.
One Copy of this form must be made available to the original home buyer.
Insulation
Location
Flat or vaulted ceilings
with office above
Ceilings with enclosed
rafter Cavities
Frame walls and rim/band
jolsts - to exterior
Frame walls and rim/band
joists - to attic, garage
Frame floor - cantilever
Frame floor • over garage or
crawl space
Slab -on -grade (0.12")
Crawl space walla
easement walls
ilxu
14,-) S
Rated Location
Fl-value (Int / extl
4
rm
W
Notes
Certification
I/We certify that the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed in accordance with the 'Insulatlon Guidelines" published by the City of Fort Collins.
Person Certifying Job: �n tan
Signature. Date: `,2A—Zb i O
Business Firm: bkoe r Z067i r koi.
Address: 1 Q 1 O LA) • lG l<1e ,-I v1 A W— g 1(J lG
Phone:
� 'd 6 Z L L ' 0 N ILHtHOL6 WdN:: 01H 'N'Ulr
Fort Collins Residential Energy Code the building & Zoning dept. of
INSULATION DISCLOSURE FORM Communfty Planning and Environmental Services
rt°45c2-at'7nQSS 281 N. College Ave., P.O. Box 580, Fort Collins, Co Bo522
Voice: 970 221 6760 FAX: 970 224 6134
Job address: (s DCZ N rmI i t1 i j (vj �?7
General contractor. Cmr,&.0
Insulation contactor. �lo� r✓� 1 ry,� tn.�� - -
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 Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
Insulation
Flat or vaulted osilbrgs
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rlmlband
joists - to exterior
Frame walls and rfmlband
joists - to attic, garage
Frame floor - cantilever
Frame floor - over garage or
trawl apace
Slab -on -grade t0-12'
Crawl space walla
Basement wafts
UIn
0
♦
,I �w , r,
OEM
• , N+t
..I
�I, i,���+ 1�rfi If �-
a , ....%I
r'[it
�
'ql:
,1,�,
ILI
JC
110lIlM
CoMeatlon
1/We certify that the above -listed insulation was installed in the building at the above locations in conformance 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 Collins.
Person Certifying Job:t-
Business Firm: �` 'e',r`JC``x ^ r�tnb C✓t�bn
Address: I l 0 W• �iSe n V g (l t0
Date: 1 -22-
Phone: C'1-70- S & 7 - Z of
E A 6ZLL'0N IL6ZL990L6 M Z:Z 010Z 'H'U it
Fort Collins Residential Energy Code the building & zoning dept. of
JINSULATION DISCLOSURE FORM Community Planning and Environmental Services
W*dW 2.xm - Moss 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voica: 970 221 6760 FAX: 970 224 6134
Job address: La 1 lyL NIm-T % V f1 1 % /r-t\ 0, oy
General contractor: & ,, )
Insulation contractor: �Jnfj ct. o,•-
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 Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
Insulation
Location
Flat or vaulted ceilings
with attice above
Ceilings with enclosed
rafter cavities
Frame walls and rindband
joists - to exterior
Frame walls and rkrAmnd
joists - to attic, garage
Rated
Thickness I R-valu
Frame floor - cantilever '
MA -
Frame floor - over garage or crawl apace Flar &t,a,!/ M. % 4- A
Slab -on -grade
(0-12')
Crawl apace walls
Basement wane
0
Location
(Int / ext) I Notes
Certification
Me certify that the above-Ilsted insulation was installed In the building at the above locations in conformance 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 Collins,
Person Certifying Job: 72Xr1'i&'/N
Signature: Date:
Business Firm: `j A0e &)r 0-\
Address: i '; 1 O [.J ,
Phone: (1'70 5 G7 - Zoi Z
Z 'd 6ZLL'ON IL6ZL990L6 WdZZ:Z 010Z 'H'U nr