HomeMy WebLinkAbout6408 CARMICHAEL ST - DISCLOSURES - 10/3/2006Fort CoWn—s Resideridal energy code the bui (ding dt zoning dept. of
INSULATION DISCLOSURE FORM Community Planning and Envinmmentat Bervicas .
281 K College Ave.. P.O. Beat SM. Fan Coles, CC SM
Vd= M M8780 FAX 8702246114
Job address:
General contractor �QOSC evs%an1 �eMES
Insulation contractor: Co�� i�-S . co►sN�"'A
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This disclosure form Is to be signed by the Instdation caftetor or representative of the general contractor.
Please type or print, swept for the signature. Complete the Information In the appropriate spaces provided.
If components very, 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 evalable to the original home buyer.
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Location
Materials
:.-
Thickness
::s::-::s:::..._.
Rated Loocation
R-Wue lilt I Notes
Flat or vaulted ceilings
with attics above
Go w
tf
Callings with enclosed
rafter cavities
Frame wells and An band
joists -to exterior
ATE S
3 f• A^
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Frame wells and din/band
joists —to attic. garage
Frame floor. cantilever
Frame floor -over garage or
crawl space
!;taboo-g►ade ro-+i'
Crawl space wags '
assementwalto
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Me earRy that the above-leted httatdetim was installed In the building at the above location in conformance alit the oarentlaqulrcnronts of ttw
Fort Collins Residentlai Energy Code, end that I was lrodalsd in acmdantce v t the 01 atdatlat Ouidelnlaa' published by the Cky of Fort Cclba.
Person CertifyingJo
Business Firm: Ca "j'Vj CA$Hwzy
Address: 'f0 "4
�d✓El�r4+�d 6,0 Phone: 44 'fie 3
I'd b00ZEi90GS AUMHSHO SWI1100 Wd89:2i 9002 60 400