HomeMy WebLinkAbout3715 Big Dipper Dr - Disclosures/Mechanical - 05/25/2006Fort Collins Residential Energy Code the building & zoning dept. of
MECHANICAL DISCLOSURE FORM Conmmuniity Planning and Environmental Services
nerxr e2.rs 7AM \ 281 N. CoMpr Ave., P.O. Bare 580, Fort Coins. CO 80=
' a ; � oiw: wM 221 6FAX 970
Job Address: �711 1-- 221 34
General contractor: k�As
Mechanical contractor.
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 there -
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,
AFUE or
B. Space cooling system
C. Water beating system
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Facbur
Storage
Certification _ - -
WVs certify that the above -listed equipment (Inducting duds and piping) was installed In the building at the above locations
In conformance with the requirements of the Fort Collin Residential Energy Code and Mechanical Code; and further, that
such equipment was installed In accordance with manufacturers' instructions.
Person Certifyin Job
Signature: Date- D
Business Finn:
Address: