HomeMy WebLinkAbout3733 Glenloch Dr - Disclosures - 11/20/2002Fort Collins Residential Energy Code
INSULATION DISCLOSURE FORM
insdisa2 ids — 711alls
the building & zoning dept. of
Community Planning and Environmental Services
281 N. College Ave., P.O. Box 580, Fort Collins, CC 80522
Voice: 970 2216760 FAX 970 224 6134
Job address: : % 33 Cleh be/7 I'
General contractor: GY i< 7 h (yu% A v ✓ -erj`i t/
Insulation contractor. 1 ed
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This disclosure form is to be signed by the insulation contractor or representative of the general contractor.
Please type or print, except for the signature. Complete the information In the appropriate spaces provided.
If components vary, make multiple entries to describe them.
One copy of this form must be provided to the Building and Zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
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IrrsUl9Mt�l
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Location
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Materials
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Thickness
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Rated location
R-value Int 1 ext
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Notes
Flat or vaulted ceilings
with attics above
%
Ceilings with enclosed
rafter cavities
Frame walls and rim/band
joists — to exterior
a
Frame walls and rim/band
joists -• to attic, garage
Frame floor - cantilever
1-4
Frame floor - over garage or
crawl space
slab -on -grade (0.12'7
' a C
R
tv 1>.14
of
Crawl space wells
Basement walls
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'Me certify that the above -rested 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 Ouidelin� published by the City of Fort Collins.
Person Certifying
-2O--c7`L
Address: /(l' ;�'� IA4 a 0 A si ",
��%�/�-P An" , Phone: i' 2— 0' p