HomeMy WebLinkAbout933 SADDLEBROOK LN - DISCLOSURES - 10/14/2002 (2)Fort Coffins Residential �Energy codo
INSULATION DISCLOSURE FORM
IA , - 7/1"a
Job Address:
the building 4 Zoning dept. of
00 planning and Environmental services
2 V Ave., p.(). BOX SIX, Fort cots, co 8C.5,
$700 FAX' 970 224 613.4
General contractor
insulation contractor.
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IN'
T .0-N. X"" VA
This disclosure fo�m 13
....... ... to be signed by the Insult on oontractoror representative ......
*ass type or Print, gxwpt for the signature. general oontractor,
PIL I
•
If components vary, COMPI`stG the Information in the apprOpd9tQ spaces provided,
-OPY Of this form Must be Provided to the Building and Zoning Department prior to the C,O,
Ono ' Make MfJrdPle entries to de$Wbg them.
One QOPY 0 " f " this form Must be made &va)14bl$ to the Original hOM8 buyer,
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LocsStrtlon
Mat Rated
Yul YJ U
Flat 0
of Ylult6cictilings T�hlok`ne$* R-YalUe
with attics about
CIlflngl with encio.,d
rafter CAVIC1.
Frame wall$ and rlm/band
Joists — to exterior
frame Walls and rinVband
joists — to A"IC, garage
I'Tilme noor - cantntv,ir
Frame riQQr - ov�er
garage or
crawl spaCt
Slab-onlrade(O-12'I ,
,"am span Wallis
Basement Wells
.. . Ce . .......
......ij,U. ..........
1 c
cortffy &At the a
Fen COflins Residential Energy C()do,
Person Certifying
I
5
............... . ..... ...
in V10 Dulkfine at the above
that it War, Inftied it, Goeft with the ourront i;�,u,irsrnsnta; ancs with t�, -Insufatlon-Guld"- published by the City of Fort c,,I,,