HomeMy WebLinkAbout2227 Merlot Ct - Disclosures - 01/12/2004 (2)p.2
Jan 12 2004 9:35AM HP LASERJET 3200
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
Job address:
M 97L4 o
General contractor: U S Ho M 6-
insulation contractor: CO L.L /nr r co"/{A,
the building do zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. em SM. Fort Coons, 00 80522
Vaiw: 970 2216700 FAX 970 224 6134
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This
is ..._. do ... s ... ure .... for ....
to .. be ............. signed
th... . a ins.......... !7 y Insulation contractor or rA res
Please type or punt, exce for the s P lntative of the ganaral.contraotor. �•
...................
pt ignature. 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.
Flat or vaulWd ceilings
Frame walls and rlmlband
joists —to attic, garage
Frame floor - cantilever
Frame floor - over gerage or
Slab -on -grade (0-12-1
two 0W*
...... - J.:l:
Y� bow-ry�
yr
sisal ..... On 1Ma
e..
building
FoM Collins nD>etlh+ahov� to .
Residerdial Energy Code, and that it was Installed In accordance vukh the "In G� UN the current requirements of the
Put4ished by the CRY of Fort Maim
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