HomeMy WebLinkAbout5620 Fossil Creek Pkwy - Disclosures/Insulation - 12/19/2001SENT BY;, ALLIED INSULATION; 970 962 9141; DEC-19-01 2:43PM; PAGE 3/4
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LATION DISCLOSURE FORM Community Planning and Envlronrr►ental Services
VM4 -7^OMe /� Bt N. Coliegt: Ave., P.D. 562 580, Fort C m=. Co 805-22
SS y P eke: 970 =t 6760 FAX, 970 Z24 $134
Job ;ddress: 0_
Gen rat contractor: �� S. ��r o lS
In su tlon contractor; v `p50 4f e n
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Plea a or print, except for the sE nature_ Complete rr -p to P p -
This Isclosure form is to be signed D the insulation canlracor cr re resentatmi cr the general 9 Y p ral contractor.
type P p g the rnfcrmacian In the a r„ flare .. aces Provided.
If ca ponents vary, make multiple entries to describe them.
One COPY of this form must be provided to the Building and Zoning Ceparttment prior to the C.O.
One 4 npy of this form must be made available to the original home buyer.
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., .' loco on. � Material sl _. � Thlcknaaa � Revalue: .� nt/e><t ' ( M1vtes _
Plat or vaulted ceilings
wlth a 3cs above I 2
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Ceilln with enrlosad
rafter tvitial I I
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Frame walls and rir'nlband
joists to exterior f
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frame Yells and rimrbratnd
joists tc attic, garage
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Frame I leer - cantilever I I
Frame I oar. over garage or j
crawl 61 lace t
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Slab -on grade,(0-7T)
crawls ace walls `I
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IANe ce ' y that the above4isted insulation was installed in the buading at; dsw above lost ons in ranrartriance vrkh the current requimmentx of the
Fort Cc? ; Residential EnarQy Code,, and that k was; —Celled In acoordance yr th the `Inau;atian Guidelines' published by the City of Fort C:Irns.
Person Ce-tifying Job: r " let
Si nai re: /
_ Date:
Busine s Firm: Alii 11i m n-L"AA
Phone