HomeMy WebLinkAbout2708 Autumn Harvest Way - Disclosures/Insulation - 05/26/200505/26/05 14:01 FAX 9702237098 THERNALCONCEPTS
2 001/001
Job Address:
General Contractor.
Fort Collins residential energy cods 7196
Insulation disclosure form
Ins Autumn Harvest
Standard Pacific Homes
Insulation Thermal Concepts Insulation
Contractor: P.O. sox 270066
Fort Collins. Co 80527
970-223-7090
Flat or vaulted ceilings
a4ticsr above
Frame walls and rim/bond
joints -to exterior
Frame walls and rim/band
joints to able, garage
Frame floor -over garage or
crawl space
Uwe Certify that the above listed Insulatlon In the buIltling at the above Iocallans is in conformance with the Current requirements of the City or Fort Collin Residential Energy Cade.
and that It was Installed in accordance with the applicable "Insulation installation Guidellms' published by the City of Fort Collins-
Ceriified by. Thermal Concepts lhsulatlon phone: 97o-223-7090
Business firm; Thermal Concepts Insulation Date:
Address: 66V S. College Ave. Signature: L. D. Kll ert
.... .
This dlsdasue form Is to be signed by the ireulatlon contractor or representei ve of the general contractor.
Please type or pried. except for the signature.
If components vary, make multiple entries to des0be them- Department at ittlel ins coon.
One copy of Mis farm shell be pmvided to the building and Zoning inspection -
one One copy of ttris form shall be provided to the home buyer.