HomeMy WebLinkAbout868 CAMPFIRE DR - DISCLOSURES - 2/18/201406/23/2013 18:37 FAX
®0002/0002
Fort Collins Residential Ener
gy the building dr zoning dept. of
INSULATION DISCLOSURE FORA
truaku2iy"7noss"' Community planning and Environmental Services
281 N. Cowls Ave., P.O. So 580, Fort Collins. CO 8=
Vok'"M 221 6760 FAX:OM 224 6134
Job addrasa:�.Y-'ti Camj�.t_.� r—p
General contractor:
Insulation contractor.
INSTRUCTIONS
p,ea,e "or Pont This dsdosure form is to be signed by the inthe Signature.sulation contractor or representative of the general contractor.
N cOmmPonents vary, make except
fuftiple erltr{88 dCescribe Pkft theme information in the appropriate spaces Provided.
One copy of this forth must he provided to the Building and Zoning Department prior to the C.O.
One coq of this form must be made available to the original home buyer.
Insulation
VWe owbfY Mat the abovodFsted irisdation was Mianad In the building at Me above locations in conformance with the current requirements of the
Fan Collins Residential Er,e,gy Code, and Mal d was trtataiied l' aooadence with the "Insulation Guidertnes" published by the City of Fort Calls.
Person Certifying
Firm: s oe a_
M