HomeMy WebLinkAbout6939 BARBUDA DR - DISCLOSURES - 11/12/2002RG INSULATION Fax:3032892456
Nov 12 2002 15:13 P.02
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IH-4SULA-110N DISCLOSURE FORM Community Pianning and
,�Zal M. Colic eAw., P.C. C,_
7fior96 9 C•ox �; I' Fob rr al .
Voice: 970 =1 6760 FAX: yi u 2�4 t; I :4
Job address: 6939 - Barhuda Drive
General contractor. R TCHMOND AMER T C_
Insulation contractor- . R _ . _ Insulation CO
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N:SREiCTl,ONS_---- .. ........... :..:...:..
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 spacer provided.
If components vary; make multiple enures to describe them -
One copy of this form must be provided ic; the Building and Zoning Department prior to the C, O_
One copy of this form must be made available to the original home buyer-
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1 ill s ib7.7
Location
--
'
Materials)
-------------
Thickness
..... ---- _................................_..}.....Y..:................... ......................::..::::
Raced Location
1-value (Int I ext lVo;es
3--i
1
— -
Fiat or vaurted ceilings
With attics above
11
"
Ceilings with enclosed
rafter cavities
P i 1h I A
Frame walls and rinVband
joists -to exterior
"
"1
15
3 p
Frame walls and r:m/bard
Joists - to attic, garage
F 1 b 1
112 �r
Rim jnists
112,11
Frame floor - cantilever.
r j h t-- r a I a q
1 9 112"1
Frame floor -over garage -or
n
Slab-0h.grade (0-�27
Crawl space walls
,1
Ha :ement walls
+
.r
f _............._..._.........................,............................. ..... -
Ic an - -- _ _ _ _
.......
_ . . .........................-................................ .. .
I/We c that the above-f6ted cisutaaon was ' -- -- ..... _ _ .... -.. _ . :4:.....
certify ursLaAed ut:..::.�:�:::.:,..::......................................................:.•,:.-:,.,.......,- •............. ...-. ::•::•:;::...,........
the buildQrg at the above locations in confon�nance w !mot the :�,-c:�; r c+;,:.ar �P-i of ,..e
Fort Collins Resider+ial Energy Code, and that it was installed in ac=rdance with the 'InsWatien Guidefrne pub zh d by the ,:, y o;
Person Certifying Jolt: Davi d MVan Buskirk _
Signaty-c:
L1iU.v�mt�ar 'I i 002
Business Firm: Tn!!,„1 P_f-i nn (`o
Address: 240S 'E 74th Ave
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