HomeMy WebLinkAbout215 W Myrtle St - Disclosures/Insulation - 10/11/1999Fort Collins residential energy code 7196
Insulation disclosure form
Job Address: 215
l
General Contractor:
Insulation Contractor: Thermal Concepts Insulation
P.O_ Box 270066
Fort Collins, CO 80522
970-223-7090
D90 W& Y
1/We certify that the above listed insulation in the building at the above locations in conformance w th the current requirements of the City of rod Collins
Residential Energy Code, and that it was installed in accordance with the applicable "Insulation Inalollation Guideline published by the City of Fort Colline.
Certified by: Thermal Concepts Insulation Phone: 970-223-7090
Business firm: Thermal Concepts Insulation Date:
Address: 6617 5_ College Ave. Signature: .-/4-,% t
This disclosure for is to be signed by the insulation contractor or representative of the general confroclor.
Moose type or print, woopt for the signature.
If components wry, make multiple entries to describe them.
One copy of this form %hall be provided to the Building and Zoning Department at final inspection.
One copy of No form shall be provided to the home buyer.