HomeMy WebLinkAbout508 W Trilby Rd - Miscellaneous/Other - 06/28/2010Larlmer County Building Department Stucco Certification Form "A"
Stucco SYst in Contractor C-1rpanv Na—e and A or
J /ld-tC Sttic[.0 CC,
ox 1 )625
Completion Date / ,lob Address
Buudme Permit Nuribe—
T' Exterior insalat on nd 'iprsh ystem (EIFS) or St6 co System -utalled on the structure located at the
address indicated above
✓\CONFORMS (To EIFS or Stucco system manufacturers recommended mstalhtion practices the
apl MPITIaGe Sector mf Ike Buddmg• Ada. CnAwm d b9 tllnimisdicbmr, and aff such pray aces otrtFmed m
the Repw31xdz sysiiinn— .
Product Componert Names
Adhesive(s) �A,)— 4
Fasteners (mech) C, )_ I n 1J L c
Base Coat t
Reinforcing Fabnc/Matenal(s) 6�
Fmish Coat(s)
Installation
Conforms
Substrate Type & Tolerance
13
Fasteners
t, u,� A( Jt
Insulation��
Drainage Plain
Remfo cmgFabnc
Base Coat
Finish
The information en Bred above is o`fered i
testimony that the Stuc o or EIFS installation conforms with
the manufacturer s installation methods and
procedures as well as the manufacturer s listed Evaluation
Reports)
NOTE An installation report shall be received from he Sealart Installer indicating that the sealant
installation conorms to the system specific evaluation report and the sealant manufacturer s installation
metho and pr edures must accompany this declaration (See Latimer County Stucco system
a er cation fo "B" )
ignature of 47ontractor/]nstallerand Company Title
Number (1Y Z�Z /p
Laremelt County Building Department Stucco Certilficatian Form B
S a r Insta lation Contractor Company Name and Adaress
PO Box 270626
m
Completion Date.(G
Br_ ]ding Permit Number
Job Address
,B le 6,5 6,16'
The sealant installed m conjunction with an Exterior Insulation and Finish System (EIFS) or Stucco System
ins ailed on the struc'ure located at the address mdre led ib(,%e
�\ CONFORMS (To the Stucco System Manufacturer and Sealant Manufacturer s recommended
instahation practices as given in each manufacturer s listed installation procedures Evaluation Repots and
the Building Code as enforced by this junsdiction )
Product Component Name
Pnmer(s) �-4 _? I
Sealers ,t 1 j2 _ I
Bond Breakers 4j O
c -ia it Mate als -luf - I
INSTALLATION
Designer s requirements details and instructions
CONFORMS
Sealant Manufacturer s details and reaaire-nents
Stucco System Manufacturer s requirements
The information entered above is offered in t stimon) that the Sealant mstallation conforms to the sealant
manufacturer s installation methods and procedure;%awt he Stucco or EIFS manufacturer s listed
evaluation report
Sipature of responsible corrpanv officer o inall
Title of Company representatr%e signing this form /Jih
Telephone number &40 Z;fZ 01,9