HomeMy WebLinkAbout4702 DUSTY SAGE DR - DISCLOSURES - 3/10/2003 (8)The building & zCning depfi_ al'
INSULATION DISCLOSURE Ft7FZM
,:cb address:
General cent. actor.
Ccmmuniiy Planning artd Envfrmnmentaf Seraiczz
?et N. CailageAve., P.C. 3== FCMCaNftta, C aC-`
Vcics 370 = C, Wl FAX-.97fl =4 VU
lnsufafcn carttrc:cr. ��'� Pa �I15U'QT,o
......- - _...._._................. - -
_._..........._.•................ _ ___ r..— _ _»» :_:. ::_ :: •�
i nis diSGas: re fern Is to to stoned �y the insulatfon ccnaaecr or, apresentadve of the aeaeraf rncr=r.
Piease type or print, ?_react for the signature. Ccmpiete the infa=adcri in the aporacriats spaces pmviced.
If =mponents vary, make "nuMpie entries to describe them.
Cne ccay of this form must be provided to the Building and =zning Qepartment prior to the C.O_
Cne copy of this fcrm must ce made available to the adginai home 6uyec
:insuiazid __._.... _—__...._......._._._._.._.......--.__...._....... - .... _._ _...._..._._..__........_.. _
Ij 1 Ratt:d L.oca�:cn
! ccatfcrr !+ 4tateriaffs Ttticicness !- R-rains (lest/. sz:T i Notes
Fiat arvauitec cziilrtgs
wi
ith act r.si:nva. i
raftercavitie:
I
Frame waits and, irtrbandto
l ce),
F-ar:e wails and-frrvb=: c
f i7ls:S — to attic. =arage
�
II
` ` a" Kit
! I
Frr,.e floor - aantflever
I
! !
( �
Frame rigor - aver ;wage ar
crawl ;coca
l
! !
I !
! l
:iahzn-grde
Crawl .cac_ walla
!
�i.2f•'IPiC............................................................................_.._........._........_._........—n:•.-:-..-•r:-:—-
Uwe car Vry hat -.!-:a aceve=isced insuatten wz : itw-.. a8d in ',,to cunding at he aisove ;a=3crs ':t cnfemmnca whit ?ta c ^rerti rn4�rar. and ai s
-arc Cailins Residentiai :=-. er'-f Ccda, and that it was hs-.-itad in a r nos with she 'inati rive^ Guidafinaz" pucitaized ay Its C -j of FatT Cauttt.
rPw=on Cartffying JCb:
re:
3
Ptsene=