HomeMy WebLinkAbout5109 Country Squire Way - Disclosures/Mechanical - 12/13/2006ort Collins Residential Energy Code
MECHANICAL DISCLOSURE FORM
Job Address:
General cots SCLOt.
Mechanical contractor:
the building At zoning dept. of
Community Planning and Environmental Services
291 N. COUM Ave., P.O. BOX SK Fat Cdk*, CO BM22
INSTRUCTIONS -
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or prink, except for the signature.
If there are multiple systems serving any function, make multiple entries to describe them.
One copy of this form must be provided to the Suldhrg and zoning Department prior to the C.O.
One copy of this form must be made available to the original home buyer.
A. Space heating system
B. Space cooling system . .
C_.water fie2ma syowii i:`:.: .
Certification,
[We certify that the'ebove-Died equipment (inctudmg duns and piping) was installed In the buldWa at the above locations
in conformance wBh the requiremerds of the Fort Coifirm Residential Eriergy Code and Mechanical Code; and further, that
such equipment was Installed in accordance with manufacturers' Ineftodons.
PAGE 414' RCVD AT IV131006 2:38:56 PM (Pacific Standard Time] I SVR:S45A10011' DNIS:3734' CSID;' DURATION (mm•ss):01-06- -• - - -