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HomeMy WebLinkAbout903 Glenwall Dr - Disclosures - 04/21/2003 (2)Fort Collins Residential Energy Code INSULATION DISCLOSURE FORM rea�e2.es-mass Job address: 140n Avail General contractor. c C< S T>e V h the building & zoning dept. of Community Planning and Environmental Services 281 H. Comae Ave., P.O. Banc 580, Fort Collins. CO MM Voice: 970 2216760 FAX 970 224 6134 P(- -e- lf L.L G Insulation contractor. �%� �' Y"' ��" C :........................................................................................... ................................................................................................. E.....::::::::•::: =: ::: •:: ::::t s :::::::::::::::::�::: . ......................... 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 forth 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. ............................................................... Location Fiat or vaulted callings with attics above ......................................................................................... MatertalLS1 r .3 Thickness Rated LOCatlOrl R-value Int l ext Notes — Ceilings with enclosed' rafter cavities n Frame walls and rimlband joists —to exterior " s D 3 / Frame walls and rimlband joists — to attic, garage Frame floor - cantilever Frame floor - over garage or crawl space Slab -on -grade (0-12") Crawl space wails re Basement walla :o:. .. _ call C .rc. �.: .. ............................................. .... . I" oar* that the above4sted insulation was instaikd in the building at the above locations in confomranee with the current requiremerds of the Fort Collins Residential 5nergy Code, and that it was Installed in accordance with the "Insulation Guideline published by the City of Fort Collins. Person Certifying Job: S �`�"� o S �h Srnnaturee Q_ _ L/ Date: Business Firm. �" �✓ �-Prrt-� C- - Address. 3� ©L� �. A'S S). F). C_d // 0 L1_ 9