HomeMy WebLinkAbout538 Cajetan St - Disclosures/Insulation - 11/26/2014Fort Collins Residential Energy Code
It4SULATION DISCLOSURE FORM
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Job address:
General contractor
insulation contractor.
Neighborhood & Building Services
281 N. College Ave.. P.O. Box 580. Fort Collins, CO 80522
Phone: $70 221676o FAX: 970 224 6134
INSTRUCTIONS spaces Provided.
igned by the insulation contractor or representative of the general contra r•
This disclosure form is to be s
please type or print, except for the signature. Complete the information in the appropriate
If components vary, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Departrnent prior to the C.O.
One copy of this torte must be made available to the original home buyer.
Ct3etifica�tian
UWe certify that the above4iisted Insulation was installed in the building at the above locations In Conformance with the Cur[ent r2quifBm6ntS of the
Fort Collins Residential Energy Code. and that it was installed in accordance with the "Insulation Guldel nes" published by the City of Fort Collins.
Person Certifying Job:
Business Firm: L & L 1 0
Address: Phone_ 97n-221-3180 _