HomeMy WebLinkAbout614 S WASHINGTON ST - DISCLOSURES - 12/15/2003 (2)Fort Collins residential energy code 7196
insulation disclosure form
J b Address
714 S. WasWn
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General Contractor: Grace Custom Homes
Insulation Thermal Concepts insulation
Contractor: P.O. Box 2T0066
Fort Collins, CO $0527
970-223-7094 - _-_ ✓ . .�>x:;Y v y r�
Flat or vaulted ceilings
attics above
Frame walls and rim/band
joints to exterior
t'rame walls and rim/band
joints to attic, garage
Frame floor -cantilever
Frame floor -over garage or
crawl space
Slab -on -grade (0-12")
Crawl space walls
Ilwe certify that the above listed insulation in the building at the above locations is in conformance with the current requirements of the City of Fort Collins Residential Energy Code,
and that It was installed in accordance with tha applicable "Insulation Installation Guidelines" published by the City of Fort Collins.
Certified by: Thermal Concepts Insulation Phone: 970.223.7090
Business firm: Thermal Concepts Insulation Date:
Address: 6617 S. College Ave. Signature: —_arm
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This oisclosure `orm is to be signed by the Insulation contractor or representative of the general contractor.
Please type or print, except for the signature.
If components vary, make multiple entries to describe them.
One cosy of this form shall be prcvided to the building and Zoning Department at final inspection.
One copy of this form shall be provided to the home buyer.