HomeMy WebLinkAbout5133 Mill Stone Way - Disclosures/Insulation - 05/16/2006ma`,j 1b GUUb tU:54HM CULLiN5 UHSHWHY
9706132004
E
aLA
ns Residential Energy Code
ON DISCLOSURE FORM
6rd• - rn
Job address:
General contractor:
Insulation contractor.
the building 6 zoning dept, of
Community Planning and Environmental Services
281 N. Cotape Ave., p.0. Box 580, pat Coons, CO NM
Voles: 070 2216700 FAX: 970 224 813A
This d ....... disclo
sure
r . . e for ... F toa ....... m s b ..... s _ net b .....
the ,,..._. In
sulation , nsu ..... .
Y ation contract • .............
Please type or pdrtt, exceptfor the a or � reprosentative of the Saneral contractor.
gig o Complete the information in the appropriate spaces provided.
If components vary, make multiple entries to desatbe 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,
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Location
Materlai s
ovation`:. ...............-...........................-.......
Flat or Mulled ceilings
Thicknesss
Raralue Int J • Notes
� �y.
- �
with attks above
Ceilings with enclosed
raReteavides '
Frame walls and rlmlband
Joists -to exterior
Z
Frame wails and rlm&and
Joists -to Attie, garage
Frame fbor-cartglever
Prams floor.owr garage or
crawl space
Mab.on.grade (0.12")
:ravel space wails
"
- /5F
1190Ment walls
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that ..... abovs~lispsd Irtsul ati On
felled ..
the'bu ring
Fort Collins RaWantial Ernra Code, and that !t was insbaUsd In at the above locations to eonforrnai�e� vrhh tli�'currant requlretr►er�ts of tM
Tdanee yy](Jy the'lnsttlation duidelirla"published by the City of Fort Co1bn.
Address:
Phone:
PAGE 113 1 RCVD AT 5116/2006 11:53:39 AM ]Pacific Daylight Time] • SVR:S45A1001/3 • DNIS:3724 • CSID:9706132004*DURATION (mm-ss):02-06