HomeMy WebLinkAbout3827 Gardenwall Ct - Disclosures - 05/09/2002 (2)RG INSULATION Fax:3032892456 May 9 2002 18:38 P.02
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is�1s"�iL4if0N 17iS0L0SURE FORM Community Planning ?lrld rlvircnmalitr,l :carvicr_s:
2Q1 N. Collcgc Ave,. P.O. Do:. t,C10, r ,,,t <:uunr.., C.0 LO'_u?
_ inUri t1 Voice: 970 2216760 FAX 970 224 G'l :j4
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Job address:
General contractor RICH-MOND AMERICAN 140MES —
insulation contractor.
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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 prodded.
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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...........................n .............. Rated Location
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Flat of vaulted ceilings
with attics above
Ceilings with encloses
rafter cavities
Frame walls and rim/band
joists — to exterior
Frame walls and rimlb3na
joists — to attic. garage
Frame floor - cantilever
Frame floor - over garage or
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Slab -on -grade (D-7Z-7
Grawl space walls
Person Certifying Job: D,yid Vart ]Buskirk---, — — — — —
Girinature:
Sutsihess Firm: R G _ Insulation Co — — — — —
�dd.-ess`. 2 —.9 7 t.$ Ave. — -- -- _.
Co _ 80229,