HomeMy WebLinkAbout1502 Tang Ct - Disclosures - 02/17/2004Feb 17 2004 10:57AM HP LRSERJET 3200
IN
ollins Residential Energy Code
710N DISCLOSURE FORM
Mdsaa
Job address: 4%0 2- 7- fwft
General contractor: G &_WN oo*A- - —
insulstion contractor: 061.1 /n+ ,sfi' 00"640#*y
This disdoeure forth Is to be signed by the Insulation cont►aoicr, or repress
Pleslte type or print, wopt for the signature. Lbmplab the information in
If components very, make multiple entries to devedw thus.
One copy of this form must be provided to the Binding and Zoning Depart)
One copy of this form must be made available to the original home buyer.
Flat or vauhadeailings
With attics above
Celiings with eneloew
rafter eavitles
Frame walls and rinftnd
joists to exterior
F►ams wafts wd rlmrband
joists — la attic, garage
Frame %or • aentower
Frame hoer .over owe" or
eriwl two
S10-M- redo (g tt'i
Crawl space ways
aasemant Was
Iwocliritt
the)ilialibOve-9stedi ax:.'1.5Sd5: u:;:ki»s¢n? �"vtirz;iiw:i
11e11........• {
Fort CoGna Rosidenliaal E t Millie btltdhg at the above W
neryr Coda, end thtt it was wowed in awmism Vft the
Person CattlNin'g''J'oob: g �&a
Signature: L 1 1_1
p.2
a,
h: :budding do zoning opt. of
Co"110"n Planning uld Envifnntnentel Services
I20dt Aw., P.O. bw qw. part Conn, CC $0522
Vol 1 Ott GM FAX: en zw 0134
i.Y.'}Y•:::'... ... v.KS{r4Yr??�:•n�::r::J.......•............... .
)elan) �oontraotor. .. •.• . ...... _.
* spaces provided
he C.O.
outwit ragWmff nts of the:,:...
by the City d Fort Coons,
-(Sol