HomeMy WebLinkAbout6820 AUTUMN RIDGE DR - DISCLOSURES - 9/22/2003 (2)09/21/2003 23:52 9704614593 PRO INSULATION PAGE 04
Fort Collins Residential code 7/96
Insulation disclosure form
Job address:,_ 6820 AI1T 4 RIDGE
General Contractor K8 HOME
Insulation Contractor; PR 10 PRO
Location
Flat or vaulted ceilings
with attics above
Materials
—.�.M�
own Fiberulass
Thickness I Rated R
14.75" JR38
We certify that theabov .....,.. ::.:: o::;:; �krr';,:.:;::,;;i,;:r!;!Iisa1R
e-listed insulation was Installed in the building at the tibove location9 in
conform-- Ce with the current requirements of the City of Fort G4illin3 Residential Energy code,
and that was installed In the accordance with the Opplicable "Insulation Installation Guidelines published
by the Clty of Fort Collins.
Location INotes
Certified by:KE1/1-- N�E..j3—
Business firm: PRO INSULATION Phone: (9701469-4570,
Address: 5 W. 66th ST I oy I$e nd, 80�38 Oate: /22/2003
(l G>iyliiCl::an '1�'"'F,7I�.:'i Signature
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his d ,.. ,. s Is
clorse form I • s to be signed by the insulation contractor or representative of the general contractor.
Please type 4r print, except for the signature.
If Componew very, make multiple entries to describe them,
One copy of this form shall be provided to the Buckling and Zoning Department at final inspection,
One Copy of thls form shalt be provided to the homebuyer,