HomeMy WebLinkAbout5226 Lady Moon Dr - Disclosures/Mechanical - 07/11/2007I
Fort Collins Residential Energy code the building A zoning dept. of
MECHANICAL DISCLOSURE FORM Conwounity Planning and Enviro►xnental Services
mddw2�ic �no>ae 281 It College Ave., P.O. Box 580. Fat Collins. CO ti =
Voice: WM 2216760 FAX 970 224 6134
Job Addms's: L r 47
i General contractor. - --
Mechanical contractor. --
OF
INSTRUCTIONS
This disclosure form is to be signed by the mechanical contractor or representative of the general contractor.
Please type or print, except for the signature. _
If there are multiple systems serving any function, make multiple entries to describe therm
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.
A. Space heating system ,
Input apaeky AFUE or
� Fuel .TWO µtidy tatuh or w I "ISPIF_ .
i
B. Space cooling system
C. Water hieating system
Certification -
VWO certify that the above4eted equipment (inqluding ducts and piping) was Irmu. fled In the building at the above locations
in conformance with the requirements of the Fort Colllmi Residential Energy Code and Mechanical Code; and Wher, that
such equipment was Installed in accordance with manufacturers' Instructions.