HomeMy WebLinkAbout1815 Brightwater Dr - Disclosures - 02/25/2004 (2)r
Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
Yn$0'3CZxts _ 711a98
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.C. cox 520, For, Collins, CC 8C°Z2
Voice: 970 221 6760 FAX: 970 224 5134
Job address: ,,l//yIi, —J
General contractor- /� �p/�K�✓11e.
Insulation contractor: %I �� �'(� ' 1h)5yL- A-Tior>,.>
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N . ST . .
CTION
This discicsure form is to be signed by the insulation contractor or recresentative cf :ne _eneral ccr,t-ac or.
Please type or print, except `cr the signature. Compiete the information in the aporceric;e Spaces provided.
If components vary, make multiole entries to desc^be them. _
One copy of this form must be provided to the Building and Zoning=ecartment prior to the C.G.
One copy of this form must be made available to the eriginal home uyer.
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ulation:....:.:
Rated I Location f
Location I Materials) Thickness I R-value I (Int / ext) I Notes
Flat or vaulted ceilings
with attics above
Frame floor - cantilever 11 Up-woup- 1- 1) 1 3 ;S
Frame floor - over garage or
crawl space
3
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el C ...; -
Lfic atlon
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I/We ce. ar, that the acove4stee ,nsuia5on was installed in the building a. ;-,e ve Ic a� ns „ �--ance Hn�`; t:^e torten:
Fort Collins Residential _nercy Code, and that it was installed in a orcar,c ;;i i the ;^- . y ' C,; ^ lnsuia _,, ice:ines" :uoi:shed by the ;*y c; :-crt Cc..,ns.
Person Ce
Signature:
Date: 2- q'i�
Business Firm: Ai(16A a)
Address: j 2 cf Llt9C�
Phone- %-Z-90y