HomeMy WebLinkAbout3844 Gardenwall Ct - Disclosures - 07/10/2002 (3)RG INSULATION Fax:3032892456
Jul 10 2002 16:42 P.06
:-or'. Coil r-s Residential Energy Code I. IC buiI I ldi n 117. c
'q & z o,-1 n 9 (�c.- --� -
iINSi9LA 70N DISCLOSURE FORM Community Plannirg .and Friv:ronin>-nl:il
e.e:,2d-- - 7MM Z31 N. College Ave., P G. Buz :Aj), i•,rt C,
Vance: 97022lG760 FAX, 9702246"'.W
Job address:
General contr2ctor, RIMMOND AM1PRTCAN HOMES
Insulation contractor A--G- Insulation Co-
INSTRUCMN&na .......... ......
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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 -
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Location
Flat or vaulted ceilings
with attics above
Ceilings with enclosed
rafter cavities
Frame walls and rim1band
joists - to exterior
Frame walls and rim/band
joists- - to attic garage
Frame floor - cantilever
Frame floor - over garage or
AMIXXOAMC
Slab -on -grade (0-127
C-1 space wails.
Basement walls
I
Notes
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'�We above -As ' M insulation was instilled in the buMfog ;it in conform-ince with thc., eve -rent i eq*U"ir C'r rwnt3 of d 10.
Fort Collins Residential Energy Code, and that it was insured in accordance with the 'Insulation Guidelines* pubfishr by the City of Fort C.ollirn.,
Person Certifying Job: Davi M. Van Buskirk
nature:
Date:
Business Firm: r. T C rL
Address: 74th A3Ze,