HomeMy WebLinkAbout417 N GRANT AVE - DISCLOSURES - 6/2/2017Fort Collins Residential Energy Code Neighborhood & Building Services
INSULATION DISCLOSURE FORM 281 N College Ave P O Box 580, Fort Collins Co 80522
irad,sQ ids - mines Phone 970 221 6760 FAX 970 224 6134
Job address o 12 / 1, ��i^-r *e.-. z _I wl�
General contractor,
Insulation contractor
INSTRUCTIONS
0"_V-TRh
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
-,on
9JUH 17 9:45RIa
Location
Materials
Thickness
Rated
I R-value
Location
Int l ext
Notes
Flat or vaulted callings
with attics above
WO
Ceilings with enclosed
raker cavities
Frame walls and rim/band
joists - to exterior
FqU 4-0411
4-
%
Frame walls and rim/band
joists - to attic, garage
Frame floor - cantilever
f it -
Frame floor - over garage or
crawl apace
Slab -on -grade (0-12")
Crawl space walls
Basement walla
Certification
INVe 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: _ Tony ny _�al
, ✓en.&
Business Firm. LOA&A GUnrtt-C7wl
Vasol
Phone: CM o 7,-3