HomeMy WebLinkAbout6815 Montserrat Dr - Disclosures/Insulation - 04/19/2000i P_11
,Apr-19-00 09:55W ALLIED INSULATION NORTH 970 962 9141
Fort Co ins Rssid-!intial Energy Code the bui, Jnq 4 Zon..lg dept. of
INSU" iON Dtst.ILOSURE FORM
Community Planning and L-nvironmentol Services
tat N. CoNooa Avs., P.U. 00x :ib0, Fort CvNlns, co &:,U
Vwoe; e70.21 0760 r'AK 97u ua tf 13l
Job addre
Genoml C.- .tractor G r►y p"-) d — a
lusulaUon )ntractor.'
This discio ,ire form is ty be sign S by the insulation contractor cr roprusentative Of the gUn .ral co; Itractoi
Please lypt of print, ex�opt fur the signature. Complete the Infun nation in the 3ppropriatc s,,aces provided,
If compose ,is very, rna,�e inultiple enttles to describe them.
One copy t this form must be provided to the Dullding and Zonhng Depry tfnent prioi to thu C.O.
One copy t tl,,.; form must be mvJe available to the original home buyer.
f nsul�tt
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Ratfd. LOt at1C I
I_ocatfo.t
Flat or vaunt , ceilings
with attics a: ve
Collings with �11:Cloaed
rafter Cevitte
I
Frame wails ILI , imlband
joists+te M..p I,, I
I'
J9rr
Rome vralls . <t rltorba,, :
'V
joisla—lout' „,arage
Frame floor • _a;. ifever
I •�
Frame floor
-tame garap
uc
crawl apace
i
Moterial(s)
T1,lckne" R-valtla fiestas t 04ot
r. �t
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1tr/L
Crawl space walis
Basernant walls
Car*%fjoalro�
r ,: r.,.
th
UV1fe eerbfy U,ahovauatud nsurativn was IneGiled In e building at the above
It one In conforn n rc, with cur put raRuUert,onL¢ of the
Fort Collins R, :u,'nbal Eneryy nds, ttrnl dat k was ineb,lled in 4QWtdatico wilh U79 .trJAilation Guidelines pubrio. +d by the City of Fort Ca&. -a.
Pcraon Cert . :Ig Jo;::
a
Business f
Address:/?A2—
----�� Phone:
bo/Z8 xVc1 Trrcr•r--n,r
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