HomeMy WebLinkAbout4038 Celtic Ln - Disclosures - 09/19/2002bo2o3z6o
Fort Collins Residential Energy Code the building & zoning dept . of
INSULATION DISCLOSURE FORM Community Planning and Environmental Services
insdisc2.XL5-7-10-99 281 N. College Ave., P.O. Box 580, Fort Collins, CO 80522
Voice:970-221-6760 Fax:970-224-6134
Job address: 4038 Celtic Ln. Fort Collins, CO 80524 Lot 317
General contractor: K B Home
Insulation contractor: Allied North
INSRUCTIONS
This disclosure is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for signatures. Complete the information in the appropriate spaces provided.
If components vary, make multople entries to describe them.
One copy of this must be provided to the Building and Zoning Department prior to C.O.
One copy of this must be made available to the homeowner.
Insulation
Rated Location
Location Material(s) Thickness R-value (Int-ext)
Flat or vaulted ceilings
with attics above 12" R - 38
Frame floor over garage or
crawl space
Slab on grade ( 0-12")
Crawl space walls
Basement walls
6'/," 1 R-19
loft I R-30
6'/," I R -19
Notes
Certification
I/we certify that the above -listed insulation was installed in the building at the above locations in conformance with the current requirements of the
Fort Collins Residential Energy Code, and that it was installed in accordance with the "Insulation Guidelines" published by the City of Fort Collins.
Person Certifying Job:
Business Firm:
Address
ndoval
North
1292 S. Cleveland
Date: ?_ / r -- C)7
Phone: 970-962-9011