HomeMy WebLinkAbout5703 Big Canyon Dr - Disclosures/Insulation - 09/20/2013Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
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Neighborhood & Building Services
281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Phone: 970 221 6760 FAX: 970 224 6134
Insulation contractor: $UILp,Er2� INSuLA? to l.(
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. 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
Ce►Ufication
IANe 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: {)\�I A 1\ K J iA (-I it,
Rated Locatio
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Date: 9 -
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