HomeMy WebLinkAbout2809 Brush Creek Dr - Disclosures - 01/28/2002•u. u..r �•VbL7v aJ7
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Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
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Job address:
General contractor:
Insulation contractor:
Mftps cam Q2 ft
All . _ r --'T 1.
the building A zoning dept. of
Community Planning and Environmental Services
201 N. CoMge Ma., P.O.9os Sao. Fort CogM CO aWn
V*W.. a70221 a7a0 FAx: a7022a d13s
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This disclosure form Is to be Signed lM1 in `--:Y-::::-'•:>».;;.;:;;:::; :_;::::•:>;;, :; ......;,::, •...........
9 by s sufaUon contactor or representative of the genera( contractor,
Please type or print, except for the signature, Complete the information In the appropriate spaces provided.
It components vary, male multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department poor to the C.O.
One copy o(this form must be made available to the original home buyer.
Flat or vaulted ceilings
with epics above
Callings with enclosed
rafter cavitisa
Frame walls and rim%and
Joists - to exterior
Frame walls and rlmiband
Joists - to attic. garage
Frame nog( - cantlle"r
Frame floor. over garage ar
crawl space
Slabon.grade f0.12'1
Crawl space walls
Basement walla
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INVa caroy diet the sbovo.rtstad irrlulatlon was iut4Ced in the butdng at
the above for�dons H oeMa msrx s with yte cw»n(� nts o.•Y.'.
Fort Collins ResldentiA Ener, Cods, and that Ivvsa inatalled n requirements of art
,,//JJ //JJ,_j,� r accordance with the-Instdatton Ouids6np' pubWw by ftro City of Fort Celiac.
Person Certifying Job. /042 rT_ -�V W7ai
Address: /a 977 5 CJ-e of d
phone; % - q46 IL