HomeMy WebLinkAbout938 CAMPFIRE DR - DISCLOSURES - 6/23/201306/2 i2t)..3 1.8:.37 hr'iX epluo 3 - Z000210002
Fort Collins Residential Energy Code the building & zoning:dept. of
INSULATION DISCLOSURE FORM Community Planning and Environmental Services
cmiszm - mose _ 281 N. College Ave.: P.o. Sax W, Fort Collins, CO 80522
j} Voice: M 221 6760 FAX: 870 224 6134
Job address: 3d' (�U.yvx'%l7•c?. e
V
General contractor.
Insulation contractor. or
Y
INSTRUCTIONS
This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type or print except for the signature. Complete the information in the appropriate spaces provided.
If components vary, 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 available to the original home buyer.
Insulation
Certification
IAVe certify that the above4csted insulation was installed in the Wilding at the above locations in conformance with the current requirements cif the
Fon Colim Residential Energy Code, and thaf it was Ainstalled in accordance wlh the "Invitation Guidernes' published by the City of Far; Coinns.
Person
Signature:
lusiness Finn:
Address: S`ltf�
Date:
i F:Y�yp/ C i Po7yiv Phone: .-A:/3. --2