HomeMy WebLinkAbout421 S GRANT ST - DISCLOSURES - 3/1/201103/01/2011 18:09 FAX 9704614592 PRO INSULATION
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PRO Insulation Residential
Insulation Disclosure Form
Job Address: 421 S Grant
General Contractor. Wes Baumgartner
Permit Number: Sog0 6) q 5,
InsubMw
Location Materials
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�eellings with enclosed Fiberglass batts
rafter cavities 1
Rim Joist !Fiberglass batts 1w I R-19 jRlms
framed walls and rim
Joist to exterior I Blown Fiberglass 5.5" 1 23 wall
Walk out wails jBIGwn fiberglass 5.5" 23 Wail
Framed floor- cantilever I fiberglass batts 12" 38 floor
Slab on Grade I N/A
Crawls ace walls N/A
Basement wails Ifiberglass batts 5.5" 1 19 furrin
Certification
We certify that the above listed insulation was installed in the building at the above locations in conformance with the current
requirements of the City Of Fort Collins residential Energy Code and were installed with applicable "Insulation installation Guidelines'
published by the City Of Fort Collins
Certified by: Todd Robertson Phone: 970-461-45 0
Insulation Firm: PRO Insulation Date: 3/1/11
Address:1429 6th Ave Signature:_
Greeley, Co 80631
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
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 form shall be provided to the homebuyer